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General NPI Number Information
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NPI Number | 1164641379
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Entity Type | Individual
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Provider Name | LAURA A RICHTER MSPT
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 525 E 68TH ST 18TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-4870
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Country | US
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Telephone | 212-746-1535
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Fax | 212-746-8980
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Provider Business Mailing Address
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Address Line | 314 E 62ND ST APT 4C
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City | NEW YORK
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State | NY
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Zip | 10021-8255
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Country | US
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Telephone | 212-746-1535
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Fax | 212-746-8900
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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 | 015117-1
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License Number State | NY
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