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General NPI Number Information
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NPI Number | 1245483957
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Entity Type | Individual
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Provider Name | KRISTINE MAE ROXAS UDAY-CADIZ RPT
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Gender | Female
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Dates
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Enumeration Date | 10/25/2008
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 42 WOLDEN RD
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City | OSSINING
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State | NY
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Zip | 10562-5302
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Country | US
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Telephone | 347-820-4171
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Fax |
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Provider Business Mailing Address
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Address Line | 8531 LEFFERTS BLVD 3RD FLOOR
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City | KEW GARDENS
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State | NY
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Zip | 11415-3003
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Country | US
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Telephone | 347-820-4171
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 028550
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License Number State | NY
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