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General NPI Number Information
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NPI Number | 1235354366
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Entity Type | Individual
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Provider Name | KERRY F RAIVEL PT, MS
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 421 N MAIN ST BLDG 3
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City | LEEDS
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State | MA
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Zip | 01053-9700
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Country | US
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Telephone | 413-687-4233
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Fax |
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Provider Business Mailing Address
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Address Line | 18 W CENTER ST
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City | FLORENCE
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State | MA
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Zip | 01062-1210
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Country | US
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Telephone | 212-781-2140
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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 | 18552
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License Number State | MA
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