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General NPI Number Information
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NPI Number | 1104852920
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Entity Type | Organization
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Legal Business Name | TRINITY CARE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23019 67TH AVE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-2701
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Country | US
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Telephone | 718-819-0463
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Fax |
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Provider Business Mailing Address
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Address Line | 23019 67TH AVE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-2701
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Country | US
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Telephone | 718-819-0463
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Fax |
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Authorized Official
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Title or Position | PYHSICAL THERAPIST
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Name | MR. ATEF BEKHEIT
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Credential |
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Telephone | 718-926-0445
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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 | 014882
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License Number State | NY
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