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General NPI Number Information
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NPI Number | 1700600731
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Entity Type | Individual
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Provider Name | RANDY BAISY PT
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Gender | Male
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 2388 ROUTE 9 STE 102
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City | MECHANICVILLE
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State | NY
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Zip | 12118-3433
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Country | US
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Telephone | 518-899-1140
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Fax | 518-899-1139
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Provider Business Mailing Address
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Address Line | 5 CARE LN
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-8623
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Country | US
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Telephone | 518-587-5670
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Fax | 518-587-5674
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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 | 053445
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License Number State | NY
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