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General NPI Number Information
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NPI Number | 1962372813
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Entity Type | Organization
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Legal Business Name | MULTIPLE SCLEROSIS SPECIALTY CENTER, LLC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 3 BATTERYMARCH PARK STE 105
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City | QUINCY
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State | MA
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Zip | 02169-7500
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Country | US
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Telephone | 617-404-8959
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Fax | 617-404-8933
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Provider Business Mailing Address
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Address Line | 3 BATTERYMARCH PARK STE 105
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City | QUINCY
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State | MA
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Zip | 02169-7500
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Country | US
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Telephone | 617-404-8959
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Fax | 617-404-8933
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | JOHN MARMAROU
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Credential | DPT
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Telephone | 609-202-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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