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General NPI Number Information
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NPI Number | 1770357899
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Entity Type | Individual
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Provider Name | KALAGI N DESAI
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Gender | Female
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 2212 3RD AVE FL RSAVE 2
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City | NEW YORK
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State | NY
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Zip | 10035-3535
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Country | US
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Telephone | 212-988-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 4521 SMITH AVE APT 2
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-2756
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Country | US
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Telephone | 513-510-8870
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 051105
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License Number State | NY
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