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General NPI Number Information
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NPI Number | 1114381126
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Entity Type | Organization
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Legal Business Name | PLUS PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 3728 75TH ST
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6426
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Country | US
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Telephone | 718-205-7710
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Fax | 718-205-7730
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Provider Business Mailing Address
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Address Line | 3728 75TH ST
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6426
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Country | US
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Telephone | 718-205-7710
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Fax | 718-205-7730
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Authorized Official
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Title or Position | PT
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Name | NAGAH A ALAIDY
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Credential | PT
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Telephone | 718-205-7710
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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 | 0184751
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License Number State | NY
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