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General NPI Number Information
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NPI Number | 1245030527
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Entity Type | Organization
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Legal Business Name | DEKENES REHABILITATION PT PC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 2263 E 15TH ST STE 1
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City | BROOKLYN
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State | NY
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Zip | 11229-4380
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Country | US
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Telephone | 718-373-0856
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Fax |
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Provider Business Mailing Address
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Address Line | 2074 20TH LN APT 2G
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City | BROOKLYN
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State | NY
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Zip | 11214-6348
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Country | US
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Telephone | 718-373-0856
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Fax | 718-373-2865
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. KHALID ATTIA
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Credential | PT,DPT,PHDC
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Telephone | 201-450-0569
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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