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General NPI Number Information
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NPI Number | 1558758540
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Entity Type | Organization
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Legal Business Name | BRIGHT FORCE PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 865 CYPRESS AVE.
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City | RIDGEWOOD
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State | NY
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Zip | 11385-4724
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Country | US
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Telephone | 718-628-5300
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Fax | 718-628-6297
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Provider Business Mailing Address
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Address Line | 865 CYPRESS AVE.
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City | RIDGEWOOD
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State | NY
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Zip | 11385-4724
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Country | US
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Telephone | 718-628-5300
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Fax | 718-628-6297
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Authorized Official
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Title or Position | DIRECTOR
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Name | MAGDY MOHAMMED ELMADBOLY
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Credential | PHYSICAL THERAPIST
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Telephone | 718-628-5300
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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 | 022726
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 014113
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License Number State | NY
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