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General NPI Number Information
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NPI Number | 1962607150
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Entity Type | Organization
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Legal Business Name | KATRINA GURVITS DC PC
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 03/06/2009
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Provider Practice Location Address
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Address Line | 651 WASHINGTON ST SUITE 110
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City | BROOKLINE
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State | MA
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Zip | 02446-4517
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Country | US
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Telephone | 617-232-0240
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Fax | 617-232-0213
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Provider Business Mailing Address
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Address Line | 651 WASHINGTON ST SUITE 110
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City | BROOKLINE
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State | MA
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Zip | 02446-4517
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Country | US
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Telephone | 614-232-0240
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Fax | 617-232-0213
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATRINA GURVITS
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Credential | D.C.
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Telephone | 617-232-0240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2185
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License Number State | MA
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