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General NPI Number Information
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NPI Number | 1114027158
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Entity Type | Individual
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Provider Name | AMY MARIE LOPEZ PT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 800 CARTER ST
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City | ROCHESTER
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State | NY
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Zip | 14621
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Country | US
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Telephone | 585-338-1400
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Fax | 585-336-4845
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Provider Business Mailing Address
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Address Line | 7687 FRONTAGE RD ATTN KELLY STEELE
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City | CICERO
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State | NY
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Zip | 13039-8921
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Country | US
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Telephone | 315-635-5000
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Fax | 315-635-3663
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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 | 0283011
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License Number State | NY
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