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General NPI Number Information
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NPI Number | 1992500748
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Entity Type | Individual
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Provider Name | KIMBERLY N FAVARA PT
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Gender | Female
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 18-01 POLLITT DR STE 1A
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City | FAIR LAWN
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State | NJ
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Zip | 07410-2815
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Country | US
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Telephone | 201-478-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 214 JEFFERSON ST APT 1R
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City | HOBOKEN
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State | NJ
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Zip | 07030-1919
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Country | US
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Telephone | 908-415-8899
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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 | 40QA01266000
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License Number State | NJ
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