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General NPI Number Information
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NPI Number | 1942497888
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Entity Type | Organization
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Legal Business Name | OAK STREET PHYSICAL THERAPY
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 382 BOSTON TPKE
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City | SHREWSBURY
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State | MA
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Zip | 01545-3466
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Country | US
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Telephone | 508-842-4500
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Fax | 508-842-9135
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Provider Business Mailing Address
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Address Line | 382 BOSTON TPKE
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City | SHREWSBURY
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State | MA
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Zip | 01545-3466
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Country | US
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Telephone | 508-842-4500
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Fax | 508-842-9135
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. FRANCES E FROST
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Credential |
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Telephone | 508-842-4500
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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 | 4336
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License Number State | MA
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