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General NPI Number Information
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NPI Number | 1720452576
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Entity Type | Organization
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Legal Business Name | INFINITY CARE PT PC
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 2038 CROPSEY AVE APT 2G
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City | BROOKLYN
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State | NY
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Zip | 11214-6249
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Country | US
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Telephone | 718-509-4949
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Fax | 718-889-7045
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Provider Business Mailing Address
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Address Line | 2748 OCEAN AVE # 2
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City | BROOKLYN
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State | NY
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Zip | 11229-4708
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Country | US
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Telephone | 718-509-4949
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Fax | 718-889-7045
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Authorized Official
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Title or Position | DIRECTOR
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Name | HASEM A HUSSEIN
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Credential | P.T.
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Telephone | 347-579-4183
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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 |
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License Number State |
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