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General NPI Number Information
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NPI Number | 1679863922
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Entity Type | Organization
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Legal Business Name | PT4U
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 328 GREAT RD
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City | BEDFORD
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State | MA
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Zip | 01730-2359
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Country | US
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Telephone | 781-430-0078
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Fax | 781-274-1259
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Provider Business Mailing Address
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Address Line | 328 GREAT RD
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City | BEDFORD
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State | MA
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Zip | 01730-2359
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Country | US
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Telephone | 781-430-0078
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Fax | 781-274-1259
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/ OWNER
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Name | SHARON A MACEACHRON
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Credential | MSPT
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Telephone | 781-430-0078
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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 | 17910
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License Number State | MA
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