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General NPI Number Information
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NPI Number | 1053256834
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Entity Type | Individual
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Provider Name | DESIREE ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 267 GRANT ST
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City | BRIDGEPORT
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State | CT
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Zip | 06610-2870
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Country | US
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Telephone | 203-384-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 17 GRAFTON ST
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City | NEW HAVEN
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State | CT
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Zip | 06513-3225
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Country | US
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Telephone | 480-375-0064
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Fax | 480-375-0064
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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 | 40QA01780100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 045032
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14.013472
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License Number State | CT
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