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General NPI Number Information
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NPI Number | 1518133107
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Entity Type | Individual
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Provider Name | BINDHU SREE KAKARALA P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 25 VICTORY BLVD 2ND FLOOR
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City | STATEN ISLAND
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State | NY
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Zip | 10301-2905
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Country | US
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Telephone | 718-815-7246
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Fax | 718-815-7363
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Provider Business Mailing Address
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Address Line | 8 MERLE CT
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City | MARLBORO
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State | NJ
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Zip | 07746-1123
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Country | US
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Telephone | 732-770-8684
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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 | 027200
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License Number State | NY
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