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General NPI Number Information
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NPI Number | 1255702825
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Entity Type | Individual
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Provider Name | ZACHARY PLUG DPT
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Gender | Male
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 495 COLUMBUS AVE
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City | BOSTON
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State | MA
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Zip | 02118-3250
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Country | US
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Telephone | 617-262-7555
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Fax | 617-262-7557
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Provider Business Mailing Address
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Address Line | 184 LINCOLN ST UNIT C
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City | HINGHAM
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State | MA
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Zip | 02043-1762
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Country | US
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Telephone | 781-740-4900
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Fax | 781-740-4930
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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 | 21678
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License Number State | MA
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