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General NPI Number Information
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NPI Number | 1881558252
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Entity Type | Individual
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Provider Name | HADY ABDO AZAB PT
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Gender | Male
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 162 E 78TH ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10075-0406
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Country | US
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Telephone | 917-472-7003
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 5TH AVE APT 5C
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City | NEW YORK
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State | NY
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Zip | 10029-3420
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Country | US
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Telephone | 609-327-3633
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 055494
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License Number State | NY
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