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General NPI Number Information
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NPI Number | 1306142559
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Entity Type | Organization
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Legal Business Name | ALBERTS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 5 BAY STATE CT
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City | BREWSTER
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State | MA
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Zip | 02631-2120
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Country | US
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Telephone | 508-255-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BAY STATE CT
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City | BREWSTER
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State | MA
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Zip | 02631-2120
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Country | US
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Telephone | 508-255-1661
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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 | MISS VIRGINIA C. ALBERTS
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Credential | PT
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Telephone | 508-255-6477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 10706
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License Number State | MA
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