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General NPI Number Information
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NPI Number | 1598650269
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Entity Type | Individual
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Provider Name | NIKEETA JIVRAJBHAI MANGUKIYA PT
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 47 WEST 14TH STREET, 3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 646-930-2040
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Fax | 866-753-1668
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Provider Business Mailing Address
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Address Line | 8411 QUEENS BOULEVARD, 1ST FLOOR
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City | ELMHURST
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State | NY
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Zip | 11373
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Country | US
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Telephone | 929-522-0481
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Fax | 888-959-6110
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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 | 053389
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License Number State | NY
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