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General NPI Number Information
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NPI Number | 1730356577
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Entity Type | Organization
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Legal Business Name | HEALING HANDS PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 526 BAY RIDGE PKWY
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City | BROOKLYN
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State | NY
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Zip | 11209
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Country | US
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Telephone | 718-491-6556
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Fax | 718-491-8571
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Provider Business Mailing Address
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Address Line | 526 BAY RIDGE PKWY
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City | BROOKLYN
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State | NY
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Zip | 11209
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Country | US
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Telephone | 718-491-6556
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Fax | 718-491-8571
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Authorized Official
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Title or Position | PROVIDER OWNER
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Name | MR. AHMED ABOUELELA
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Credential | PT
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Telephone | 718-491-6556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 0148891
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License Number State | NY
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