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General NPI Number Information
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NPI Number | 1891150181
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Entity Type | Organization
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Legal Business Name | SKY LIMIT PHYSICAL THERAPY, P.C
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 4050 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-2234
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Country | US
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Telephone | 718-450-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 8523 FORT HAMILTON PKWY 3F
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City | BROOKLYN
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State | NY
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Zip | 11209-4866
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Country | US
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Telephone | 718-450-7070
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AHMED MAHMOUD ELMANSY
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Credential | PT
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Telephone | 718-450-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 016017
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License Number State | NY
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