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General NPI Number Information
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NPI Number | 1114903200
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Entity Type | Individual
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Provider Name | LISA E ZAMFINO P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 740 WILLIAMS ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-7463
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Country | US
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Telephone | 413-447-8070
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Fax | 413-445-4918
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Provider Business Mailing Address
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Address Line | 54 POOL HILL RD
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City | NEW LEBANON
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State | NY
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Zip | 12125-3517
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Country | US
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Telephone | 518-794-8182
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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 | 12102
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License Number State | MA
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