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General NPI Number Information
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NPI Number | 1437796380
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Entity Type | Individual
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Provider Name | EMILY LASHOMB DPT
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Gender | Female
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Dates
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Enumeration Date | 12/10/2019
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | MMH OUTPATIENT CENTER/PT 271 ANDREWS ST, SUITE 269
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City | MASSENA
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State | NY
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Zip | 13662
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Country | US
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Telephone | 315-769-8950
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Fax | 315-769-6039
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR ATTEN: BECKI H
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City | MASSENA
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State | NY
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Zip | 13662
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Country | US
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Telephone | 315-769-4317
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 032747
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License Number State | NY
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