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General NPI Number Information
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NPI Number | 1174311740
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Entity Type | Organization
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Legal Business Name | HOMEBODY WELLNESS, PLLC
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 290 BAKER AVE STE N101
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City | CONCORD
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State | MA
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Zip | 01742-2193
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Country | US
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Telephone | 978-219-4645
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Fax |
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Provider Business Mailing Address
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Address Line | 711 LOWELL RD
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City | CONCORD
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State | MA
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Zip | 01742-5500
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Country | US
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Telephone | 239-877-2985
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | MELISSA ANNE BRANDON
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Credential | PT, DPT
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Telephone | 239-877-2985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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