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General NPI Number Information
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NPI Number | 1851932974
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Entity Type | Organization
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Legal Business Name | HANDS OF HOPE PT PC
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 255 W SPRING VALLEY AVE
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City | MAYWOOD
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State | NJ
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Zip | 07607-1445
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Country | US
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Telephone | 347-396-3599
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Fax |
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Provider Business Mailing Address
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Address Line | 2155 E 24TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-4901
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Country | US
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Telephone | 201-539-4544
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOTAZ EBEIDO
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Credential |
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Telephone | 347-396-3599
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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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