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NPI 1265394803

NPI 1265394803 : ALANNA MARIE KUBIK DPT : PLYMOUTH, MA

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General NPI Number Information
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    NPI Number           |    1265394803
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    Entity Type          |    Individual 
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    Provider Name        |    ALANNA MARIE KUBIK DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/02/2025
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    715 STATE RD 
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    City                 |    PLYMOUTH
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    State                |    MA
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    Zip                  |    02360-5103
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    Country              |    US
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    Telephone            |    508-591-7215
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    Fax                  |    508-591-7537
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Provider Business Mailing Address
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    Address Line         |    715 STATE RD 
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    City                 |    PLYMOUTH
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    State                |    MA
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    Zip                  |    02360-5103
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    Country              |    US
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    Telephone            |    
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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       |    PTL88837
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    License Number State |    MA
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