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General NPI Number Information
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NPI Number | 1679663736
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Entity Type | Organization
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Legal Business Name | A-1 COMMUNITY PHYSICAL MEDICINE & REHABILITATION, P.C.
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 7911 41ST AVE A-108
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City | ELMHURST
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State | NY
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Zip | 11373-1258
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Country | US
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Telephone | 718-424-5151
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Fax | 718-424-9119
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Provider Business Mailing Address
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Address Line | 7911 41ST AVE A-108
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City | ELMHURST
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State | NY
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Zip | 11373-1258
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Country | US
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Telephone | 718-424-5151
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Fax | 718-424-9119
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JOSEPHINE BRAWNER
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Credential | M.D.
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Telephone | 718-424-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 200303
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License Number State | NY
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