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General NPI Number Information
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NPI Number | 1619121126
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Entity Type | Individual
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Provider Name | AMY JEANNE FURLONG P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 127 BLOOMINGROVE DR.
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City | TROY
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State | NY
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Zip | 12180
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Country | US
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Telephone | 518-233-0544
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Fax | 518-233-0703
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Provider Business Mailing Address
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Address Line | 160 LARK ST
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City | ALBANY
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State | NY
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Zip | 12210-1426
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Country | US
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Telephone | 518-465-5081
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Fax | 518-465-5081
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 010960-1
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License Number State | NY
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