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General NPI Number Information
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NPI Number | 1164040861
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Entity Type | Organization
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Legal Business Name | QUEENS REHAB PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 8003 211TH ST
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-1012
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Country | US
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Telephone | 929-293-2590
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Fax |
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Provider Business Mailing Address
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Address Line | 11039 67TH RD
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City | FOREST HILLS
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State | NY
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Zip | 11375
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Country | US
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Telephone | 929-293-2590
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERIF SOLIMAN
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Credential | PT
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Telephone | 929-293-2590
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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 |
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License Number State |
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