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General NPI Number Information
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NPI Number | 1356203046
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Entity Type | Individual
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Provider Name | ELYSE BRIANNE MARKHAM DPT
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 529 CENTRAL AVE
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City | DUNKIRK
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State | NY
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Zip | 14048-2599
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Country | US
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Telephone | 716-366-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 725 PARK AVE UPPR
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City | DUNKIRK
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State | NY
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Zip | 14048-2506
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Country | US
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Telephone | 716-785-0788
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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 | 055245-01
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License Number State | NY
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