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General NPI Number Information
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NPI Number | 1215143680
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Entity Type | Organization
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Legal Business Name | ALLCARE PHYSICAL THERAPY
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 1213 AVENUE P FIRST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11229-1008
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Country | US
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Telephone | 718-339-6885
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Fax | 718-339-0945
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Provider Business Mailing Address
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Address Line | PO BOX 297064 FIRST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11229-7064
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Country | US
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Telephone | 718-339-6885
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Fax | 718-339-0945
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. OFIR ISAAC
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Credential | PT
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Telephone | 718-339-6885
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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 | 017846
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License Number State | NY
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