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General NPI Number Information
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NPI Number | 1326557901
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Entity Type | Organization
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Legal Business Name | KAIA HEALTH INC
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 99 WALL ST # 5880
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City | NEW YORK
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State | NY
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Zip | 10005-4301
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Country | US
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Telephone | 630-390-8081
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Fax |
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Provider Business Mailing Address
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Address Line | 99 WALL ST # 5880
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City | NEW YORK
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State | NY
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Zip | 10005-4301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP BUSINESS DEVELOPMENT
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Name | MARK LIBER
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Credential |
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Telephone | 630-390-8081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278P1005X
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Taxonomy Name | Pulmonary Rehabilitation Certified Respiratory 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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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