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General NPI Number Information
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NPI Number | 1275818759
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Entity Type | Individual
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Provider Name | ELMY CARPENTER PT
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Gender | Female
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 51-55 N RTE 9W
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City | WEST HAVERSTRAW
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State | NY
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Zip | 10993
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Country | US
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Telephone | 845-786-4000
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Fax | 845-786-4068
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Provider Business Mailing Address
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Address Line | 3 CRESCENT DR APARTMENT 12
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City | THIELLS
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State | NY
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Zip | 10984-1634
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Country | US
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Telephone | 845-786-4000
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Fax | 845-786-4051
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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 | 032973-1
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License Number State | NY
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