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General NPI Number Information
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NPI Number | 1538620554
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Entity Type | Organization
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Legal Business Name | SPORTSFIT PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 03/31/2019
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Last Update Date | 03/31/2019
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Provider Practice Location Address
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Address Line | 3 AJOOTIAN WAY UNIT 4
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City | MIDDLETON
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State | MA
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Zip | 01949-2493
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Country | US
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Telephone | 978-979-0976
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Fax |
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Provider Business Mailing Address
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Address Line | 116 RANTOUL ST APT 506
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City | BEVERLY
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State | MA
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Zip | 01915-4259
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Country | US
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Telephone | 978-979-0976
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | LAURYN STEPHANIE GINSBURG
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Credential | DPT
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Telephone | 978-979-0976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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