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NPI 1730092941

NPI 1730092941 : BEVERLY FEIN PT, EDD, DPT : FAIRFIELD, CT

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General NPI Number Information
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    NPI Number           |    1730092941
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    Entity Type          |    Individual 
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    Provider Name        |    BEVERLY FEIN PT, EDD, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/28/2026
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    Last Update Date     |    09/28/2026
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Provider Practice Location Address
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    Address Line         |    5151 PARK AVE 
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    City                 |    FAIRFIELD
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    State                |    CT
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    Zip                  |    06825-1000
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    Country              |    US
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    Telephone            |    203-371-7797
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    Fax                  |    203-365-4723
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Provider Business Mailing Address
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    Address Line         |    15 LAKEVIEW DR 
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    City                 |    EASTON
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    State                |    CT
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    Zip                  |    06612-1700
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    Country              |    US
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    Telephone            |    203-543-6555
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    Fax                  |    203-365-4723
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    003105
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    License Number State |    CT
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