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General NPI Number Information
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NPI Number | 1871503524
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC REHAB ASSOCIATES PC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 300 OAK ST STE 450
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City | PEMBROKE
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State | MA
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Zip | 02359-1960
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Country | US
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Telephone | 781-829-9966
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Fax | 781-829-2164
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Provider Business Mailing Address
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Address Line | 300 OAK ST STE 450
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City | PEMBROKE
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State | MA
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Zip | 02359-1960
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Country | US
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Telephone | 781-829-9966
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Fax | 781-829-2164
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK LEMBO
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Credential | P.T.
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Telephone | 781-829-9966
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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 | 10914
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License Number State | MA
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