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General NPI Number Information
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NPI Number | 1215975024
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Entity Type | Individual
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Provider Name | SHARA FAWN LABELSON DPT
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 149 E 62ND ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10065-7630
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Country | US
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Telephone | 646-429-9673
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Fax | 646-429-8573
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Provider Business Mailing Address
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Address Line | 5 RENAISSANCE SQ APT 9B
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City | WHITE PLAINS
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State | NY
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Zip | 10601-3043
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Country | US
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Telephone | 917-741-9742
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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 | 21201
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License Number State | NY
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