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General NPI Number Information
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NPI Number | 1619284247
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Entity Type | Individual
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Provider Name | ANITA DOREEN GRAYS MSPT
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Gender | Female
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 6110 COUNTY RTE 32 SECO PO 1046
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City | NORWICH
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State | NY
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Zip | 13815
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Country | US
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Telephone | 607-334-5010
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Fax | 607-336-7326
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Provider Business Mailing Address
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Address Line | 1555 STATE HIGHWAY 357
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City | UNADILLA
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State | NY
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Zip | 13849-2399
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Country | US
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Telephone | 607-369-4531
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 012508
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License Number State | NY
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