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NPI 1235177403

NPI 1235177403 : EXCEL PHYSICAL THERAPY, INC : DORCHESTER, MA

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General NPI Number Information
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    NPI Number           |    1235177403
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    Entity Type          |    Organization 
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    Legal Business Name  |    EXCEL PHYSICAL THERAPY, INC 
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Dates
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    Enumeration Date     |    06/02/2006
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    Last Update Date     |    03/06/2008
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Provider Practice Location Address
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    Address Line         |    19 STOUGHTON ST 
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    City                 |    DORCHESTER
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    State                |    MA
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    Zip                  |    02125-3402
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    Country              |    US
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    Telephone            |    617-822-2222
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 BRICK KILN RD BLDG 1, UNIT 5
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    City                 |    CHELMSFORD
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    State                |    MA
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    Zip                  |    01824-3282
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    Country              |    US
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    Telephone            |    978-250-0230
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    Fax                  |    978-250-8424
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |     FREDERICK T GIAMPA 
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    Credential           |    
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    Telephone            |    978-250-0230
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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       |    
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    License Number State |    
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