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General NPI Number Information
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NPI Number | 1467339267
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Entity Type | Individual
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Provider Name | PETER ALEXANDER CALICCHIA DPT
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Gender | Male
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 5 PLAIN AVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-2204
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Country | US
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Telephone | 914-725-5414
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Fax |
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Provider Business Mailing Address
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Address Line | 7 GEORGE ST
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City | YONKERS
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State | NY
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Zip | 10707-1040
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Country | US
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Telephone | 914-619-4774
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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 | 054750
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License Number State | NY
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