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General NPI Number Information
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NPI Number | 1871214619
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Entity Type | Organization
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Legal Business Name | CHELSEA WELLNESS AND PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 70 EVERETT AVENUE UNIT #5.5
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City | CHELSEA
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State | MA
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Zip | 02150
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Country | US
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Telephone | 781-581-6333
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Fax | 781-593-9093
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Provider Business Mailing Address
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Address Line | 121 BROAD STREET
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City | LYNN
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State | MA
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Zip | 01901
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Country | US
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Telephone | 781-581-6333
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Fax | 781-593-9093
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALEX PYATIGORSKIY
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Credential |
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Telephone | 617-721-6281
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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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