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General NPI Number Information
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NPI Number | 1891398178
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Entity Type | Individual
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Provider Name | KENDRA L HARRINGTON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 150 YORK ST
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City | STOUGHTON
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State | MA
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Zip | 02072-1829
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Country | US
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Telephone | 781-344-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 24 ANDREWS RD
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1359
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Country | US
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Telephone | 508-863-6086
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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 | 25172
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License Number State | MA
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