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General NPI Number Information
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NPI Number | 1811391618
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Entity Type | Individual
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Provider Name | JUDY SPILKA
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Gender | Female
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 5823 WIDEWATERS PKWY STE 3
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-3081
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Country | US
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Telephone | 315-251-3100
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Fax | 315-449-9923
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Provider Business Mailing Address
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Address Line | PO BOX 580
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City | SYRACUSE
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State | NY
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Zip | 13214-0580
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Country | US
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Telephone | 315-251-3140
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Fax | 315-552-6046
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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 | 2305216352
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-033455
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 038249
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License Number State | NY
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