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General NPI Number Information
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NPI Number | 1225906068
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Entity Type | Individual
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Provider Name | MANSI TRIVEDI
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Gender | Female
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 2510 30TH AVE
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City | ASTORIA
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State | NY
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Zip | 11102-2418
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Country | US
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Telephone | 718-267-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 BRIANNA LN APT 5D
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City | SECAUCUS
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State | NJ
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Zip | 07094-4515
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Country | US
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Telephone | 207-440-9439
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 014840
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License Number State | NY
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