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General NPI Number Information
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NPI Number | 1891574224
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Entity Type | Organization
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Legal Business Name | SOLOMA PT PC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 2017 WILLIAMSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10461-1606
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Country | US
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Telephone | 347-657-1123
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Fax |
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Provider Business Mailing Address
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Address Line | 8724 16TH AVE APT 3
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City | BROOKLYN
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State | NY
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Zip | 11214-4526
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Country | US
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Telephone | 929-502-8523
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Fax |
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Authorized Official
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Title or Position | HEAD
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Name | MAHMOUD SOLOMA
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Credential | PT,DPT
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Telephone | 929-502-8523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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