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General NPI Number Information
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NPI Number | 1487874830
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Entity Type | Individual
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Provider Name | BETHANY LYN SPILLANE MSPT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1343 BOSTON PROVIDENCE TPKE
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City | NORWOOD
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State | MA
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Zip | 02062-5055
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Country | US
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Telephone | 781-702-1339
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Fax |
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Provider Business Mailing Address
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Address Line | 703 GRANITE ST STE 3
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City | BRAINTREE
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State | MA
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Zip | 02184-5350
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Country | US
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Telephone | 781-961-3370
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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 | PTL17614
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License Number State | MA
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