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General NPI Number Information
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NPI Number | 1265724538
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Entity Type | Individual
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Provider Name | LAURIE CAMPBELL BARNEY P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 4232 SHELBY BASIN RD
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City | MEDINA
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State | NY
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Zip | 14132
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Country | US
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Telephone | 716-868-6783
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Fax |
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Provider Business Mailing Address
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Address Line | 5677 KIPPEN DRIVE
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City | EAST AMHERST
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State | NY
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Zip | 14051-1969
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Country | US
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Telephone | 716-689-0342
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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 | 6283
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License Number State | NY
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