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General NPI Number Information
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NPI Number | 1578228938
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Entity Type | Organization
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Legal Business Name | REHAB CHAINS PT PC
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 9208 LIBERTY AVE
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City | JAMAICA
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State | NY
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Zip | 11417-1526
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Country | US
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Telephone | 929-272-9852
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Fax |
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Provider Business Mailing Address
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Address Line | 2414 65TH ST
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City | BROOKLYN
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State | NY
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Zip | 11204-4136
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PT
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Name | MAHMOUD E GHAZY
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Credential |
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Telephone | 929-272-9852
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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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