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General NPI Number Information
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NPI Number | 1871566547
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Entity Type | Individual
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Provider Name | DALE LANE KRANZ P.T.
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 1955 MERRICK RD SUITE 202
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City | MERRICK
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State | NY
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Zip | 11566-4642
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Country | US
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Telephone | 516-623-9145
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Fax | 516-867-8576
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Provider Business Mailing Address
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Address Line | 1955 MERRICK RD SUITE 202
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City | MERRICK
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State | NY
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Zip | 11566-4642
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Country | US
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Telephone | 516-623-9145
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Fax | 516-867-8576
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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 | 004274-1
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License Number State | NY
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