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General NPI Number Information
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NPI Number | 1639111909
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Entity Type | Individual
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Provider Name | ASHRAF SAAD DPT
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 13 LAKE DR W
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City | WAYNE
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State | NJ
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Zip | 07470-5803
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Country | US
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Telephone | 917-407-5054
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Fax | 201-625-6699
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Provider Business Mailing Address
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Address Line | 828 BAY RIDGE AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-5731
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Country | US
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Telephone | 718-833-7102
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Fax | 718-833-7102
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 017594
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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 | 40QA01732100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 017594
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License Number State | NY
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