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General NPI Number Information
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NPI Number | 1396948675
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Entity Type | Individual
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Provider Name | AHMED FEKRY MAHMOUD PT
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 20408 ROCKAWAY POINT BLVD STE NORTH
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City | BREEZY POINT
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State | NY
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Zip | 11697-1116
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Country | US
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Telephone | 718-634-7878
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Fax | 718-634-7879
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Provider Business Mailing Address
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Address Line | PO BOX 940068
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-0068
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Country | US
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Telephone | 718-634-7878
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Fax | 718-634-7879
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 018417
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License Number State | NY
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