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General NPI Number Information
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NPI Number | 1215426655
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Entity Type | Individual
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Provider Name | KAREN LOVELY DPT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 186 HAMPSHIRE ST
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City | CAMBRIDGE
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State | MA
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Zip | 02139-1387
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Country | US
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Telephone | 617-798-0937
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Fax |
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Provider Business Mailing Address
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Address Line | 69 CONCORD AVE APT 1
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City | SOMERVILLE
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State | MA
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Zip | 02143-3972
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Country | US
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Telephone | 617-240-4108
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT4834
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 24856
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License Number State | MA
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