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General NPI Number Information
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NPI Number | 1932130465
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Entity Type | Organization
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Legal Business Name | BURLINGTON PHYSICAL THERAPY, PC, DBA ORTHOPAEDICS PLUS
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 54 MIDDLESEX TPKE STE 101L
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City | BEDFORD
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State | MA
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Zip | 01730
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Country | US
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Telephone | 781-229-8011
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Fax | 781-229-8374
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Provider Business Mailing Address
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Address Line | 54 MIDDLESEX TPKE STE 101L
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City | BEDFORD
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State | MA
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Zip | 01730-1417
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Country | US
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Telephone | 781-229-8011
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Fax | 781-229-8374
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MR. JUSTIN PEZICK
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Credential | PT
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Telephone | 781-229-8011
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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 |
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License Number State |
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