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General NPI Number Information
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NPI Number | 1538325691
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Entity Type | Organization
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Legal Business Name | ALAN NG MEDICAL REHABILITATION PC
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 8611 JUSTICE AVE
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City | ELMHURST
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State | NY
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Zip | 11373-4555
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Country | US
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Telephone | 347-242-3387
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Fax | 347-242-3386
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Provider Business Mailing Address
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Address Line | 8611 JUSTICE AVE
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City | ELMHURST
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State | NY
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Zip | 11373-4555
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Country | US
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Telephone | 347-242-3387
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Fax | 347-242-3386
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Authorized Official
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Title or Position | OWNER
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Name | ALAN NG
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Credential | M.D.
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Telephone | 718-344-0468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 219706
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License Number State | NY
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