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NPI 1265362420

NPI 1265362420 : CHLOE SIMONE LANG : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1265362420
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    Entity Type          |    Individual 
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    Provider Name        |    CHLOE SIMONE LANG
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/20/2026
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    Last Update Date     |    05/20/2026
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Provider Practice Location Address
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    Address Line         |    220 LINDEN OAKS STE 100 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14625-2839
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    Country              |    US
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    Telephone            |    585-264-9440
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    Fax                  |    585-264-1489
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Provider Business Mailing Address
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    Address Line         |    14 MILL VALLEY RD 
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    City                 |    PITTSFORD
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    State                |    NY
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    Zip                  |    14534-3904
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    Country              |    US
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    Telephone            |    585-754-1981
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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       |    P142293
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    License Number State |    NY
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