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General NPI Number Information
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NPI Number | 1669589065
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Entity Type | Organization
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Legal Business Name | MILTON CHIROPRACTIC AND REHABILITATION INC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/16/2011
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Provider Practice Location Address
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Address Line | 111 WILLARD ST SUITE 2A
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City | QUINCY
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State | MA
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Zip | 02169-1200
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Country | US
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Telephone | 617-471-4491
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Fax |
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Provider Business Mailing Address
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Address Line | 111 WILLARD ST SUITE 2A
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City | QUINCY
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State | MA
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Zip | 02169-1200
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Country | US
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Telephone | 617-471-4491
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN WINDWER
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Credential | DC, PT
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Telephone | 617-471-4491
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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 | PT5835
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License Number State | MA
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