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General NPI Number Information
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NPI Number | 1932412574
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Entity Type | Individual
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Provider Name | KAREN M ROSE PT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 15 S FOREST RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6425
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Country | US
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Telephone | 716-639-0155
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Fax | 716-639-8181
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Provider Business Mailing Address
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Address Line | 3950 E ROBINSON RD SUITE 305
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City | AMHERST
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State | NY
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Zip | 14228-2041
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Country | US
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Telephone | 716-639-0155
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Fax | 716-639-8181
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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 | 012827
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License Number State | NY
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