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General NPI Number Information
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NPI Number | 1346597374
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Entity Type | Organization
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Legal Business Name | WELFARE REHAB PT PC
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 6802 RIDGE BLVD APT# 4M
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City | BROOKLYN
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State | NY
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Zip | 11220-5829
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Country | US
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Telephone | 347-692-5949
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Fax |
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Provider Business Mailing Address
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Address Line | 6802 RIDGE BLVD APT# 4M
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City | BROOKLYN
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State | NY
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Zip | 11220-5829
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Country | US
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Telephone | 347-692-5949
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NABIL M ABDEL-AAL
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Credential | DPT
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Telephone | 347-692-5949
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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 | 030625
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License Number State | NY
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