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General NPI Number Information
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NPI Number | 1265721294
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Entity Type | Organization
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Legal Business Name | ADAMS PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 04/03/2011
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Provider Practice Location Address
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Address Line | 1 BERKSHIRE SQ SUITE 109
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City | ADAMS
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State | MA
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Zip | 01220-1300
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Country | US
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Telephone | 413-446-7537
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BERKSHIRE SQ SUITE 109
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City | ADAMS
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State | MA
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Zip | 01220-1300
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Country | US
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Telephone | 413-446-7537
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | LORI A. GARABEDIAN
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Credential | PT
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Telephone | 413-446-7537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 9465
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 7769
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 9465
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 9465
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License Number State | MA
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