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General NPI Number Information
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NPI Number | 1679008445
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Entity Type | Individual
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Provider Name | HANAN ELMASRY
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Gender | Female
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 10716 LAGO WELLEBY DR
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City | SUNRISE
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State | FL
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Zip | 33351-8286
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Country | US
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Telephone | 954-496-5085
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Fax |
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Provider Business Mailing Address
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Address Line | 10716 LAGO WELLEBY DR
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City | SUNRISE
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State | FL
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Zip | 33351-8286
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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 |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305211596
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License Number State | VA
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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 | 16830
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License Number State | NC
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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 | PT32106
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License Number State | FL
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