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General NPI Number Information
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NPI Number | 1396053690
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Entity Type | Individual
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Provider Name | LAUREEN G ALLEN LMT
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Gender | Female
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 7166 BOSTON STATE RD
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City | HAMBURG
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State | NY
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Zip | 14075-6933
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Country | US
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Telephone | 716-208-9975
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Fax |
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Provider Business Mailing Address
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Address Line | 3307 N BOSTON RD
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City | EDEN
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State | NY
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Zip | 14057-9528
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Country | US
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Telephone | 716-992-4752
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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 | 012974-1
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License Number State | NY
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