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NPI 1215483797

NPI 1215483797 : KADEEM ANTHONY HOWELL DPT : MOUNT VERNON, NY

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General NPI Number Information
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    NPI Number           |    1215483797
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    Entity Type          |    Individual 
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    Provider Name        |    KADEEM ANTHONY HOWELL DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/25/2016
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    Last Update Date     |    01/13/2026
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Provider Practice Location Address
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    Address Line         |    444 S FULTON AVE 
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    City                 |    MOUNT VERNON
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    State                |    NY
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    Zip                  |    10553-1765
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    Country              |    US
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    Telephone            |    914-407-3686
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    Fax                  |    914-455-0143
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Provider Business Mailing Address
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    Address Line         |    2 MERSEREAU AVE 
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    City                 |    MOUNT VERNON
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    State                |    NY
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    Zip                  |    10553-1106
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    Country              |    US
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    Telephone            |    516-236-7273
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    Fax                  |    914-445-0143
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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       |    040549
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    License Number State |    NY
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