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General NPI Number Information
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NPI Number | 1972464147
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Entity Type | Organization
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Legal Business Name | NICOLE ANN CAMPORESE
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 4912 NY-30
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City | SCHOHARIE
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State | NY
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Zip | 12157
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Country | US
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Telephone | 518-836-5160
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Fax | 866-383-2561
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Provider Business Mailing Address
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Address Line | 112 ALPINE LN
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City | SCHOHARIE
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State | NY
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Zip | 12157-2706
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Country | US
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Telephone | 518-836-5160
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Fax | 866-383-2561
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE ANN CAMPORESE
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Credential | PT, DPT
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Telephone | 518-836-5160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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