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General NPI Number Information
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NPI Number | 1790552347
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Entity Type | Organization
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Legal Business Name | IN SYNC PT PC
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 55 W 39TH ST RM 606
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City | NEW YORK
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State | NY
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Zip | 10018-3982
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Country | US
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Telephone | 551-216-3148
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Fax |
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Provider Business Mailing Address
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Address Line | 1565 W 11TH ST
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City | BROOKLYN
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State | NY
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Zip | 11204-6245
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Country | US
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Telephone | 551-216-3148
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Fax |
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Authorized Official
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Title or Position | GROUP OWNER
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Name | HASSAN ELAGATY
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Credential | PT
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Telephone | 551-216-3148
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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 |
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License Number State |
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