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General NPI Number Information
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NPI Number | 1952297962
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Entity Type | Organization
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Legal Business Name | SKYLARK PELVIC HEALTH
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 683 MAIN ST
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City | NORWELL
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State | MA
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Zip | 02061-2346
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Country | US
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Telephone | 615-579-7154
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Fax |
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Provider Business Mailing Address
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Address Line | 19 TOWER AVE
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City | WEYMOUTH
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State | MA
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Zip | 02190-2510
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Country | US
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Telephone | 615-579-7154
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CASSANDRA LEE MOSHER
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Credential | DPT
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Telephone | 615-579-7154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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