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General NPI Number Information
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NPI Number | 1679260491
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Entity Type | Organization
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Legal Business Name | CALIBER PT PLLC
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 25 W 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-7418
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Country | US
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Telephone | 646-668-7210
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 KIMBALL STREET
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City | BROOKLYN
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State | NY
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Zip | 11234
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Country | US
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Telephone | 718-541-1916
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | CHRISTOPHER EDWARD WONG
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Credential | PT, DPT
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Telephone | 718-541-1916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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