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General NPI Number Information
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NPI Number | 1508405390
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Entity Type | Individual
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Provider Name | BRIANNE L IANNOTTI
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Gender | Female
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Dates
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Enumeration Date | 12/27/2019
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 1870 COUNTY HIGHWAY 107
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City | AMSTERDAM
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State | NY
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Zip | 12010-7314
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Country | US
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Telephone | 518-954-2645
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Fax |
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Provider Business Mailing Address
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Address Line | 7 PERKINS ST
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City | AMSTERDAM
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State | NY
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Zip | 12010-5716
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Country | US
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Telephone | 518-225-3252
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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