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General NPI Number Information
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NPI Number | 1508481987
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Entity Type | Organization
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Legal Business Name | DYNAMIC MOVES PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 7322 BAY PKWY APT B5
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City | BROOKLYN
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State | NY
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Zip | 11204-6035
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Country | US
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Telephone | 917-808-5482
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Fax |
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Provider Business Mailing Address
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Address Line | 7322 BAY PKWY APT B5
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City | BROOKLYN
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State | NY
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Zip | 11204-6035
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Country | US
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Telephone | 917-808-5482
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AHMAD ABDALMONUM
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Credential | PT
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Telephone | 917-808-5482
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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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