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NPI 1013124486

NPI 1013124486 : BARBARA S WALDRON PT, DPT : YORKTOWN HEIGHTS, NY

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General NPI Number Information
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    NPI Number           |    1013124486
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA S WALDRON PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/16/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    200 BOCES DR 
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    City                 |    YORKTOWN HEIGHTS
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    State                |    NY
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    Zip                  |    10598-4321
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    Country              |    US
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    Telephone            |    914-248-2257
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1411 WASHINGTON ST 
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    City                 |    CORTLANDT MANOR
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    State                |    NY
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    Zip                  |    10567-6309
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    Country              |    US
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    Telephone            |    914-739-8823
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    016513-1
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    License Number State |    NY
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