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General NPI Number Information
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NPI Number | 1336273051
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Entity Type | Individual
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Provider Name | DESHY KINFU PT
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 6900 DANIELS PKWY STE 36
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City | FORT MYERS
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State | FL
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Zip | 33912-1587
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Country | US
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Telephone | 239-936-4404
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Fax | 239-936-5156
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Provider Business Mailing Address
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Address Line | 1714 DOGWOOD DR
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City | ALEXANDRIA
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State | VA
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Zip | 22302-2309
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Country | US
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Telephone | 571-213-3257
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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 | 20193
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT43204
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License Number State | FL
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