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General NPI Number Information
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NPI Number | 1396560900
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Entity Type | Organization
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Legal Business Name | MOVE FIRST REHAB PT, P.C
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 18919 LINDEN BLVD
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City | JAMAICA
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State | NY
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Zip | 11412-3344
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Country | US
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Telephone | 929-435-8403
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 740049
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City | REGO PARK
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State | NY
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Zip | 11374-0049
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Country | US
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Telephone | 929-435-8403
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Fax |
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Authorized Official
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Title or Position | OWNER AND PRESIDENT
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Name | SAMIR ZAQDAN
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Credential | DPT
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Telephone | 929-435-8403
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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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