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General NPI Number Information
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NPI Number | 1396602926
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Entity Type | Organization
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Legal Business Name | PHYSIO ZONE PT PC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 9413 FLATLANDS AVE STE 1W
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City | BROOKLYN
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State | NY
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Zip | 11236-3713
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Country | US
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Telephone | 718-257-7010
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Fax | 718-257-7137
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Provider Business Mailing Address
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Address Line | 2128 OCEAN AVE APT 4B
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City | BROOKLYN
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State | NY
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Zip | 11229-1491
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Country | US
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Telephone | 718-257-7010
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Fax | 718-257-7137
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Authorized Official
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Title or Position | OWNER
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Name | ABDELHAMED KHALIFA
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Credential | PT
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Telephone | 718-257-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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