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General NPI Number Information
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NPI Number | 1912281155
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Entity Type | Individual
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Provider Name | SUSAN STEC PT
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Gender | Female
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 2072 CURRY RD
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City | SCHENECTADY
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State | NY
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Zip | 12303-4400
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Country | US
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Telephone | 518-356-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 716 CLIFTON PARK CTR RD
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City | CLIFTON PARK
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State | NY
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Zip | 12065-1660
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Country | US
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Telephone | 518-399-9649
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Fax |
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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 | 0028701
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License Number State | NY
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