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General NPI Number Information
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NPI Number | 1235851379
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Entity Type | Organization
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Legal Business Name | ANDREA SCHLEIBAUM DPT, PLLC
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 30 TOZER RD STE 201
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City | BEVERLY
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State | MA
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Zip | 01915-5510
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Country | US
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Telephone | 978-712-9081
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Fax |
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Provider Business Mailing Address
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Address Line | 30 TOZER RD STE 201
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City | BEVERLY
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State | MA
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Zip | 01915-5510
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Country | US
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Telephone | 978-712-9081
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Fax |
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Authorized Official
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Title or Position | OWNER/ PHYSICAL THERAPIST
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Name | ANDREA MARY SCHLEIBAUM
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Credential | DPT
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Telephone | 978-884-0607
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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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