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NPI 1386106128

NPI 1386106128 : STANDARD CARE PT PC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1386106128
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    Entity Type          |    Organization 
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    Legal Business Name  |    STANDARD CARE PT PC 
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Dates
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    Enumeration Date     |    04/02/2019
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    Last Update Date     |    12/02/2022
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Provider Practice Location Address
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    Address Line         |    333 GREENE AVE # STORE339 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11238-2295
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    Country              |    US
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    Telephone            |    646-541-1239
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6161 WOODHAVEN BLVD APT 7J 
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    City                 |    REGO PARK
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    State                |    NY
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    Zip                  |    11374-2721
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    Country              |    US
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    Telephone            |    646-541-1239
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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. AMR  ELBEGRMI 
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    Credential           |    PT, DPT
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    Telephone            |    646-541-1239
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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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