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General NPI Number Information
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NPI Number | 1306430277
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Entity Type | Individual
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Provider Name | MICHAELA ALVENA TROISI DPT, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/22/2021
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 720 WILLOW AVE
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City | ITHACA
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State | NY
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Zip | 14850-3215
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Country | US
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Telephone | 607-219-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 350 NEW FIDELITY CT
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City | GARNER
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State | NC
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Zip | 27529-2665
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Country | US
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Telephone | 570-842-9323
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Fax | 570-587-1978
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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 | PT029315
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License Number State | PA
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