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General NPI Number Information
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NPI Number | 1740557743
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Entity Type | Organization
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Legal Business Name | IN SYNC PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 11/19/2011
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Last Update Date | 11/19/2011
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Provider Practice Location Address
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Address Line | 1798A MASSACHUSETTS AVENUE SUITE 2
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City | CAMBRIDGE
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State | MA
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Zip | 02140
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Country | US
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Telephone | 781-405-8792
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Fax |
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Provider Business Mailing Address
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Address Line | 23 ALMERIA CIR
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City | WESTFORD
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State | MA
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Zip | 01886-1957
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Country | US
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Telephone | 781-405-8792
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. SARA ANNE COLLAMORE
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Credential | DPT, MSPT, OCS
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Telephone | 781-405-8792
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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 | 15186
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License Number State | MA
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