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General NPI Number Information
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NPI Number | 1871766196
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Entity Type | Organization
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Legal Business Name | ADVANCED REHABILITATION MEDICAL CARE ,PLLC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 3716 73RD ST STE 202
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6216
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Country | US
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Telephone | 718-205-1720
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | SELDEN
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State | NY
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Zip | 11784-0489
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Country | US
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Telephone | 631-332-0694
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROKEYA HABIB
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Credential | MD
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Telephone | 631-332-0694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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