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General NPI Number Information
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NPI Number | 1073528873
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Entity Type | Individual
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Provider Name | KARL HRISTOFF KAFOZOFF P.T., L.AC.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4241 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10312-6524
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Country | US
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Telephone | 718-490-1507
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Fax |
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Provider Business Mailing Address
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Address Line | 16 ANDREW DR
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City | MONROE
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State | NJ
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Zip | 08831-3539
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Country | US
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Telephone | 732-656-9495
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 001478
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License Number State | NY
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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 | 023824
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License Number State | NY
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