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General NPI Number Information
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NPI Number | 1881391522
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Entity Type | Individual
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Provider Name | LIANNE FARBER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 294 MASSACHUSETTS AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02139-4130
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Country | US
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Telephone | 617-945-2477
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Fax |
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Provider Business Mailing Address
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Address Line | 552 COLUMBUS AVE APT 4
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City | BOSTON
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State | MA
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Zip | 02118-1123
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Country | US
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Telephone | 631-747-1445
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 26682
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License Number State | MA
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