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General NPI Number Information
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NPI Number | 1609141951
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Entity Type | Organization
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Legal Business Name | AGILITY MEDICAL CARE, P.C.
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 1983 ROUTE 52 SUITE 4
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-3513
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Country | US
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Telephone | 845-896-1300
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Fax | 845-896-2600
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Provider Business Mailing Address
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Address Line | 1983 ROUTE 52 SUITE 4
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-3513
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Country | US
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Telephone | 845-896-1300
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Fax | 845-896-2600
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AREFIN SIDDIQUE
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Credential | M.D.
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Telephone | 845-896-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 221473
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License Number State | NY
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