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General NPI Number Information
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NPI Number | 1407833718
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Entity Type | Organization
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Legal Business Name | LOUIS B. COIRO, INC.
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 885 MAIN ST UNIT 4
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City | TEWKSBURY
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State | MA
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Zip | 01876-1800
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Country | US
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Telephone | 978-851-8768
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Fax | 978-851-8606
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Provider Business Mailing Address
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Address Line | 885 MAIN ST UNIT #4
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City | TEWKSBURY
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State | MA
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Zip | 01876-1800
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Country | US
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Telephone | 978-851-8768
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Fax | 978-851-8606
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MRS. AMANDA BLUTE
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Credential |
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Telephone | 978-851-8768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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