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General NPI Number Information
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NPI Number | 1295082469
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Entity Type | Organization
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Legal Business Name | PATRIOT ALL PRO REHAB INC.
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 10 ROXANNA ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702-7096
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Country | US
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Telephone | 508-897-0056
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Fax |
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Provider Business Mailing Address
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Address Line | 348 N PEARL ST
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City | BROCKTON
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State | MA
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Zip | 02301-1197
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Country | US
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Telephone | 508-897-0056
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | RHONDA P. TIPPETT
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Credential |
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Telephone | 508-897-0056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 229
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License Number State | MA
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