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General NPI Number Information
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NPI Number | 1023921491
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Entity Type | Individual
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Provider Name | MAHMOUD EL-MEGHALLAWY
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Gender | Male
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 1180 BUSHWICK AVE APT 2A
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City | BROOKLYN
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State | NY
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Zip | 11221-4824
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Country | US
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Telephone | 773-240-2434
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Fax |
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Provider Business Mailing Address
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Address Line | 7120 W 108TH ST UNIT 1B
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City | WORTH
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State | IL
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Zip | 60482-1666
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Country | US
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Telephone | 773-240-2434
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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 | 055780-01
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License Number State | NY
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