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General NPI Number Information
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NPI Number | 1780107342
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Entity Type | Organization
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Legal Business Name | IN HOME PHYSICAL THERAPY OF BOSTON PLLC
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 501 HEATH ST
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-2351
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Country | US
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Telephone | 347-947-3132
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Fax | 947-438-2942
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Provider Business Mailing Address
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Address Line | 3801 N 40TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33021-1860
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Country | US
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Telephone | 617-209-3066
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Fax | 617-209-6037
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Authorized Official
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Title or Position | PARTNER
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Name | SUSAN LOBERFELD
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Credential |
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Telephone | 617-209-3306
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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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