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General NPI Number Information
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NPI Number | 1265064356
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Entity Type | Individual
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Provider Name | HELEN SISCO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 176 US OVAL
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City | PLATTSBURGH
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State | NY
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Zip | 12903-3913
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Country | US
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Telephone | 518-275-5573
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Fax |
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Provider Business Mailing Address
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Address Line | 1257 COUNTY ROUTE 60
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City | ONCHIOTA
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State | NY
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Zip | 12989-1811
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Country | US
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Telephone | 518-956-3492
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 038084
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License Number State | NY
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