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General NPI Number Information
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NPI Number | 1548449192
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Entity Type | Organization
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Legal Business Name | PAIN AND WELLNESS CENTER
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 10 CENTENNIAL DR
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City | PEABODY
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State | MA
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Zip | 01960-7900
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Country | US
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Telephone | 978-826-7230
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Fax | 978-826-1045
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Provider Business Mailing Address
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Address Line | 10 CENTENNIAL DR
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City | PEABODY
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State | MA
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Zip | 01960-7900
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Country | US
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Telephone | 978-826-7230
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Fax | 978-826-1045
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DENISE L THIBODEAU
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Credential |
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Telephone | 978-826-7230
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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 | 17659
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License Number State | MA
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