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General NPI Number Information
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NPI Number | 1003777525
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Entity Type | Individual
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Provider Name | SAISHA PATIL
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 4 MEDICAL PARK DR STE B
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City | POMONA
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State | NY
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Zip | 10970-3572
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Country | US
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Telephone | 877-410-3222
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Fax |
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Provider Business Mailing Address
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Address Line | 34 HARRISON AVE
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City | HARRISON
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State | NJ
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Zip | 07029-1331
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Country | US
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Telephone | 909-487-4374
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 01454501
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License Number State | NY
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