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General NPI Number Information
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NPI Number | 1316738917
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Entity Type | Individual
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Provider Name | KALEENA JUSTINIANO DPT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 6 GREENWICH OFFICE PARK
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City | GREENWICH
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State | CT
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Zip | 06831-5115
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Country | US
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Telephone | 203-869-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 1613 RADCLIFF AVE APT 3B
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City | BRONX
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State | NY
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Zip | 10462-4036
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Country | US
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Telephone | 347-245-6967
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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 | 054160
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License Number State | NY
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