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General NPI Number Information
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NPI Number | 1396003240
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Entity Type | Organization
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Legal Business Name | HIGH CARE PT PC
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Dates
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Enumeration Date | 04/29/2012
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 176 WILSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11237-4158
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Country | US
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Telephone | 518-421-5224
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Fax | 718-484-8981
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Provider Business Mailing Address
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Address Line | 176 WILSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11237-4158
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Country | US
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Telephone | 518-421-5224
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Fax | 718-484-8981
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Authorized Official
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Title or Position | DPT, OFFICER
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Name | EHAB MOUSTAFA ELKADY
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Credential | PT, DPT
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Telephone | 518-421-5224
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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 | 030099
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License Number State | NY
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