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General NPI Number Information
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NPI Number | 1184809915
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Entity Type | Organization
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Legal Business Name | LAURIE B SAMET PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 302 E BROWN ST SUITE B
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-3010
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Country | US
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Telephone | 570-420-8888
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Fax | 570-420-8614
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Provider Business Mailing Address
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Address Line | 302 E BROWN ST SUITE B
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-3010
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Country | US
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Telephone | 570-420-8888
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Fax | 570-420-8614
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURIE BETH SAMET
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Credential | PT
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Telephone | 570-420-8888
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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 | PT002897E
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License Number State | PA
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