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General NPI Number Information
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NPI Number | 1881795920
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Entity Type | Individual
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Provider Name | LYNDA MESSINA ANGUS PT
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 2 EXECUTIVE BLVD SUITE 204A
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City | SUFFERN
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State | NY
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Zip | 10901-4164
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Country | US
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Telephone | 845-357-5686
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Fax | 845-357-3897
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Provider Business Mailing Address
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Address Line | 2 EXECUTIVE BLVD OFC 204A
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City | SUFFERN
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State | NY
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Zip | 10901-8218
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Country | US
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Telephone | 201-236-5066
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Fax | 845-357-3897
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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 | 40QA05414
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License Number State | NJ
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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 | 023817
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License Number State | NY
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