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General NPI Number Information
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NPI Number | 1629318340
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH AND FITNESS ASSOCIATES
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 36 SPINELLI PL
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1064
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Country | US
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Telephone | 617-492-4432
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Fax | 617-492-4433
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Provider Business Mailing Address
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Address Line | 36 SPINELLI PL
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1064
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Country | US
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Telephone | 617-492-4432
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Fax | 617-492-4433
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALLISON BAILEY
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Credential | M.D.
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Telephone | 617-492-4432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 219826
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License Number State | MA
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