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General NPI Number Information
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NPI Number | 1518051622
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Entity Type | Individual
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Provider Name | COLLEEN MARIE ALTON PHYSICAL THERAPIST A
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ONE WHIPPLE LANE
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City | ROCHESTER
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State | NY
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Zip | 14622
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Country | US
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Telephone | 585-338-3070
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Fax | 585-336-5014
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Provider Business Mailing Address
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Address Line | 3585 ROOSEVELT HWY
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City | HAMLIN
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State | NY
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Zip | 14464
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Country | US
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Telephone | 585-964-9045
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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 | 0050261
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License Number State | NY
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