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General NPI Number Information
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NPI Number | 1649088816
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Entity Type | Individual
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Provider Name | MRS. YOGAVARSHINI SETHURAMAN KUMARAVEL
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Gender | Female
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 796 CASTLETON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-1800
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Country | US
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Telephone | 718-524-7116
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Fax | 347-857-6596
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Provider Business Mailing Address
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Address Line | 1104 NELSON PL
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City | PISCATAWAY
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State | NJ
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Zip | 08854-3345
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Country | US
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Telephone | 848-320-0777
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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 | 053770
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License Number State | NY
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