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General NPI Number Information
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NPI Number | 1063388478
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Entity Type | Individual
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Provider Name | KAIYA-RAI SARMENTA
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Gender | Female
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 5 COLUMBUS CIR FL 10
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City | NEW YORK
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State | NY
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Zip | 10019-1412
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Country | US
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Telephone | 212-265-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 1091 2ND AVE APT 4
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City | NEW YORK
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State | NY
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Zip | 10022-2019
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Country | US
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Telephone | 239-250-6008
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 034752
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License Number State | NY
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