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General NPI Number Information
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NPI Number | 1134362494
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Entity Type | Organization
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Legal Business Name | T&M REHAB PT PC
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 2020 CORTELYOU RD
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City | BROOKLYN
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State | NY
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Zip | 11226-5904
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Country | US
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Telephone | 718-941-5400
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Fax | 718-641-5405
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Provider Business Mailing Address
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Address Line | 7211 AUSTIN ST
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City | FOREST HILLS
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State | NY
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Zip | 11375-5354
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Country | US
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Telephone | 718-941-5400
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Fax | 718-941-5405
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TAMER GAD
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Credential | PT
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Telephone | 718-941-5400
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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 |
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License Number State |
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