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General NPI Number Information
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NPI Number | 1891933537
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Entity Type | Individual
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Provider Name | DR. SHIRLEY LABARDY
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Gender | Female
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 25302 147TH AVE
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City | ROSEDALE
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State | NY
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Zip | 11422-2541
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Country | US
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Telephone | 718-528-0960
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Fax | 718-528-3522
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Provider Business Mailing Address
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Address Line | 22514 LINDEN BLVD
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1727
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Country | US
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Telephone | 718-528-0960
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Fax | 718-528-3522
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N005293
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License Number State | NY
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