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General NPI Number Information
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NPI Number | 1083874614
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Entity Type | Organization
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Legal Business Name | NOT JUST PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 2327 83RD ST SUITE A
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City | BROOKLYN
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State | NY
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Zip | 11214-2750
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Country | US
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Telephone | 718-513-4577
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Fax |
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Provider Business Mailing Address
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Address Line | 34 RAMSEY LN
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City | STATEN ISLAND
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State | NY
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Zip | 10314-5195
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Country | US
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Telephone | 718-494-4969
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETER
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Name | AHMED DARDIER
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Credential |
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Telephone | 71849494969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 022859
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License Number State | NY
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