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General NPI Number Information
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NPI Number | 1326646084
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Entity Type | Individual
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Provider Name | KERRI ELIZABETH LAURENZA DPT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 1 WEST AVE STE 150
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-6050
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Country | US
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Telephone | 518-944-3748
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Fax |
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Provider Business Mailing Address
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Address Line | 1127 LAURAL LN
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City | BALLSTON SPA
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State | NY
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Zip | 12020-3821
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Country | US
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Telephone | 518-944-3748
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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 | 046445
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License Number State | NY
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