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General NPI Number Information
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NPI Number | 1275754137
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Entity Type | Individual
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Provider Name | SAMUEL AKL I P.T.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 215 AVENUE T
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City | BROOKLYN
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State | NY
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Zip | 11223-3761
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Country | US
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Telephone | 718-382-8881
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Fax | 718-382-8880
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Provider Business Mailing Address
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Address Line | 215 AVENUE T
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City | BROOKLYN
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State | NY
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Zip | 11223-3761
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Country | US
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Telephone | 718-382-8881
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Fax | 718-382-8880
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 027913
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License Number State | NY
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