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General NPI Number Information
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NPI Number | 1760728091
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Entity Type | Organization
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Legal Business Name | ACCELERATED REHABILITATION AND PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 12/13/2012
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 87-10 37TH AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372
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Country | US
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Telephone | 718-507-8675
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Fax |
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Provider Business Mailing Address
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Address Line | 127 MYLES AVE
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City | LEVITTOWN
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State | NY
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Zip | 11756-1715
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Country | US
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Telephone | 631-804-2299
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | DR. NADIR MEMON
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Credential | DPT
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Telephone | 631-804-2299
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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 | 032749
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License Number State | NY
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