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General NPI Number Information
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NPI Number | 1396124681
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Entity Type | Organization
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Legal Business Name | ELEGANCE REHAB PT P.C.
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 2363 RALPH AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-5516
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Country | US
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Telephone | 718-444-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 2363 RALPH AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-5516
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PT, DPT
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Name | DR. AHMED WAHSH
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Credential |
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Telephone | 347-285-4427
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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 | 037503
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License Number State | NY
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