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General NPI Number Information
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NPI Number | 1689139792
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Entity Type | Individual
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Provider Name | DYNASTY LAPRADE
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Gender | Female
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Dates
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Enumeration Date | 02/02/2019
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 250 UNIVERSITY AVE
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City | CALIFORNIA
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State | PA
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Zip | 15419-1341
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Country | US
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Telephone | 724-938-5806
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Fax |
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Provider Business Mailing Address
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Address Line | 241 CYPRESS HILL DR
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City | PITTSBURGH
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State | PA
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Zip | 15235-2614
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Country | US
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Telephone | 412-609-6525
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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 | PT033035
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License Number State | PA
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