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General NPI Number Information
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NPI Number | 1760208722
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Entity Type | Organization
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Legal Business Name | THELOS PT LLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 20 SPEEN ST STE 102
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City | FRAMINGHAM
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State | MA
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Zip | 01701-4174
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Country | US
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Telephone | 781-757-1114
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Fax | 781-757-3833
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Provider Business Mailing Address
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Address Line | 44 WINTHROP ST
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City | NEWTON
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State | MA
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Zip | 02465-2309
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Country | US
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Telephone | 617-407-4214
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Fax |
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Authorized Official
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Title or Position | FRANCHISE OWNER
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Name | EMILY HUGHES
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Credential |
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Telephone | 617-407-4214
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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 |
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License Number State |
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