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General NPI Number Information
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NPI Number | 1922429687
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Entity Type | Individual
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Provider Name | MICHELLE HALLER P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/26/2013
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Last Update Date | 12/26/2013
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Provider Practice Location Address
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Address Line | 7 WELLS ST SUITE 101
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-1200
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Country | US
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Telephone | 518-587-0637
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Fax |
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Provider Business Mailing Address
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Address Line | 29 E COBBLE HILL RD
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City | LOUDONVILLE
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State | NY
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Zip | 12211-1312
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Country | US
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Telephone | 518-505-8405
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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 | 009362-1
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License Number State | NY
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