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General NPI Number Information
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NPI Number | 1902389554
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Entity Type | Individual
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Provider Name | MARY KATE PORAWSKI PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 5 N MEADOWS RD
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City | MEDFIELD
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State | MA
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Zip | 02052-2317
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Country | US
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Telephone | 978-881-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 97 PLAIN ST
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City | MANSFIELD
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State | MA
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Zip | 02048-1015
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Country | US
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Telephone | 774-644-4253
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 21864
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License Number State | MA
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