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General NPI Number Information
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NPI Number | 1386814309
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Entity Type | Organization
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Legal Business Name | ACTIVE RECOVERY BOSTON, LLC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 391 E. CENTRAL ST #1
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City | FRANKLIN
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State | MA
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Zip | 02038
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Country | US
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Telephone | 617-423-3370
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Fax | 617-423-3371
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Provider Business Mailing Address
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Address Line | 391 E. CENTRAL ST #1
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City | FRANKLIN
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State | MA
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Zip | 02038
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Country | US
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Telephone | 617-273-2552
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Fax | 617-273-2552
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | KATHERINE KELLY
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Credential | DC
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Telephone | 617-835-0475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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