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General NPI Number Information
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NPI Number | 1174883243
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Entity Type | Individual
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Provider Name | KATHLEEN ANN PORILLO M.S.ED.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 1603 COURT ST
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City | SYRACUSE
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State | NY
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Zip | 13208-1834
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Country | US
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Telephone | 315-218-0296
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Fax |
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Provider Business Mailing Address
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Address Line | 1603 COURT ST
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City | SYRACUSE
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State | NY
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Zip | 13208-1834
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Country | US
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Telephone | 315-218-0296
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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