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NPI 1265562896

NPI 1265562896 : CARE NET PHYSICAL THERAPY AND REHABILITATION SERVICES INC : ROSLINDALLE, MA

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General NPI Number Information
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    NPI Number           |    1265562896
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARE NET PHYSICAL THERAPY AND REHABILITATION SERVICES INC 
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Dates
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    Enumeration Date     |    03/06/2007
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    Last Update Date     |    11/19/2007
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Provider Practice Location Address
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    Address Line         |    41 POPLAR STREET 
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    City                 |    ROSLINDALLE
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    State                |    MA
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    Zip                  |    02131
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    Country              |    US
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    Telephone            |    617-323-8013
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    Fax                  |    617-323-8014
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Provider Business Mailing Address
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    Address Line         |    41 POPLAR STREET 
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    City                 |    ROSLINDALLE
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    State                |    MA
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    Zip                  |    02131
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    Country              |    US
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    Telephone            |    617-323-8013
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    Fax                  |    617-323-8014
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    MR. GEORGIOS E VOLANAKIS 
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    Credential           |    
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    Telephone            |    619-323-8013
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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       |    312
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    License Number State |    MA
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