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General NPI Number Information
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NPI Number | 1891460655
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Entity Type | Individual
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Provider Name | AYMAN ABDALLA MAHMOUD MOHAMED
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Gender | Male
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 1250 SAINT NICHOLAS AVE
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City | NEW YORK
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State | NY
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Zip | 10032-1904
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Country | US
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Telephone | 646-791-8888
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Fax |
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Provider Business Mailing Address
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Address Line | E6-2219 64TH ST
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City | BROOKLYN
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State | NY
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Zip | 11204
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Country | US
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Telephone | 646-508-3358
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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 |
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License Number State |
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