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General NPI Number Information
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NPI Number | 1902053010
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Entity Type | Organization
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Legal Business Name | KINESTHESIA PHYSIO, LLC
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 46 E 21ST ST 3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10010-7221
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Country | US
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Telephone | 212-677-6564
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Fax | 212-677-1510
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Provider Business Mailing Address
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Address Line | 46 E 21ST ST 3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10010-7221
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Country | US
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Telephone | 212-677-6564
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Fax | 212-677-1510
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MR. KEVIN JOHN PARETTI
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Credential | MSPT, CSCS
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Telephone | 212-677-6564
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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 | 024344
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License Number State | NY
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