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General NPI Number Information
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NPI Number | 1134825540
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Entity Type | Individual
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Provider Name | DIVYA PAGHADAL
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Gender | Female
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 153 BENNETT AVE
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City | NEW YORK
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State | NY
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Zip | 10040-4012
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Country | US
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Telephone | 866-264-9450
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Fax |
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Provider Business Mailing Address
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Address Line | 108 PATERSON ST
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City | JERSEY CITY
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State | NJ
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Zip | 07307-3426
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Country | US
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Telephone | 908-476-8990
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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