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General NPI Number Information
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NPI Number | 1831472893
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Entity Type | Individual
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Provider Name | MAGGIE ANN STANLEY PT, DPT, SCS, ATC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 12/18/2018
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Provider Practice Location Address
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Address Line | 99 DELAWARE AVE
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City | DELMAR
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State | NY
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Zip | 12054-1506
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Country | US
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Telephone | 518-262-9700
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Fax | 518-262-9720
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Provider Business Mailing Address
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Address Line | 43 NEW SCOTLAND AVE STE 209
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City | ALBANY
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State | NY
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Zip | 12208-3478
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Country | US
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Telephone | 518-262-9700
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Fax | 518-262-9720
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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 | 034267-1
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License Number State | NY
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