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General NPI Number Information
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NPI Number | 1386769909
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Entity Type | Individual
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Provider Name | SUSAN RABINOVITZ PT
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 198 VANDERBILT AVE
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City | NORWOOD
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State | MA
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Zip | 02062-5025
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Country | US
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Telephone | 781-551-0405
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Fax |
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Provider Business Mailing Address
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Address Line | 93 BILLINGS ST
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City | SHARON
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State | MA
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Zip | 02067-2143
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Country | US
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Telephone | 781-784-5967
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2196
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License Number State | MA
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