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NPI 1881481109

NPI 1881481109 : NATALIA KESTO : RANCHO MIRAGE, CA

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General NPI Number Information
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    NPI Number           |    1881481109
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIA KESTO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/21/2025
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    Last Update Date     |    04/21/2025
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Provider Practice Location Address
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    Address Line         |    35023 MISSION HILLS DR. BUILDING A
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    City                 |    RANCHO MIRAGE
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    State                |    CA
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    Zip                  |    92270
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    Country              |    US
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    Telephone            |    760-699-7236
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1150 E AMADO RD UNIT 16C2 
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    City                 |    PALM SPRINGS
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    State                |    CA
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    Zip                  |    92262-0034
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    Country              |    US
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    Telephone            |    248-378-0791
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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        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    PT307822
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    License Number State |    CA
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