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General NPI Number Information
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NPI Number | 1467675165
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Entity Type | Individual
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Provider Name | TATIANA KALIMA CARETT P.T., M.A.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 525 E 68TH ST NEW YORK PRESBYTERIAN HOSPITAL, BAKER BLDG, 18TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-4870
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Country | US
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Telephone | 212-746-1522
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Fax |
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Provider Business Mailing Address
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Address Line | 8320 141ST ST APT 1M
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City | BRIARWOOD
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State | NY
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Zip | 11435-1617
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Country | US
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Telephone | 917-705-8532
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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 | 026101
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License Number State | NY
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