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General NPI Number Information
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NPI Number | 1376720334
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Entity Type | Organization
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Legal Business Name | KIMA PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 14 W 23RD ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10010-5203
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Country | US
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Telephone | 212-686-3101
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Fax | 212-686-3101
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Provider Business Mailing Address
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Address Line | 14 W 23RD ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10010-5203
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Country | US
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Telephone | 212-686-3101
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Fax | 212-686-3101
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Authorized Official
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Title or Position | PARTNER
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Name | MS. TRACEY VINCEL
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Credential | PT, MPHTY
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Telephone | 212-686-3107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 019132-1
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License Number State | NY
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