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General NPI Number Information
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NPI Number | 1326918525
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Entity Type | Individual
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Provider Name | ROBERTA RUBY SKERYTE PT
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Gender | Female
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 379 W BROADWAY
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City | SOUTH BOSTON
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State | MA
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Zip | 02127-2217
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Country | US
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Telephone | 617-752-4138
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Fax |
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Provider Business Mailing Address
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Address Line | 122 SCHOOL ST
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City | WATERTOWN
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State | MA
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Zip | 02472-4249
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Country | US
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Telephone | 508-280-5926
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PTL88932
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PTL88932
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL88932
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License Number State | MA
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