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General NPI Number Information
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NPI Number | 1194871830
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Entity Type | Individual
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Provider Name | SONDRA JAYNE AFFOLTER PT
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 50 STATE STREET
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City | PITTSFORD
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State | NY
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Zip | 14466
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Country | US
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Telephone | 603-494-5341
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Fax | 888-310-0035
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Provider Business Mailing Address
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Address Line | 5335 COUNTY ROAD 37
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City | HEMLOCK
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State | NY
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Zip | 14466
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Country | US
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Telephone | 603-494-5341
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Fax | 888-310-0035
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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 | 1865
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 030592-1
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License Number State | NY
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