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General NPI Number Information
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NPI Number | 1316620883
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Entity Type | Individual
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Provider Name | ANTHONY LAURO
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Gender | Male
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 244 W 54TH ST FL 10
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City | NEW YORK
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State | NY
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Zip | 10019-5597
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Country | US
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Telephone | 212-262-7249
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 72ND ST
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City | BROOKLYN
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State | NY
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Zip | 11228-1611
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Country | US
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Telephone | 646-318-7546
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 017896
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License Number State | NY
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