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General NPI Number Information
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NPI Number | 1194513010
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Entity Type | Individual
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Provider Name | HEBA WALY DPT
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3063 BRIGHTON 8TH ST STE 3
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City | BROOKLYN
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State | NY
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Zip | 11235-6593
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Country | US
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Telephone | 818-535-1549
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Fax |
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Provider Business Mailing Address
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Address Line | 221 FATHER CAPODANNO BLVD # 1
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City | STATEN ISLAND
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State | NY
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Zip | 10305-4202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 053503
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License Number State | NY
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