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General NPI Number Information
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NPI Number | 1902286719
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Entity Type | Organization
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Legal Business Name | NEURO IN MOTION INC
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Dates
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Enumeration Date | 06/06/2015
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Last Update Date | 06/06/2015
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Provider Practice Location Address
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Address Line | 1575 50TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-3769
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Country | US
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Telephone | 718-928-7677
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Fax | 718-848-4061
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Provider Business Mailing Address
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Address Line | 14918 123RD ST
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-4106
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Country | US
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Telephone | 917-418-9282
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | OSYMA M ELFADIL
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Credential |
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Telephone | 646-403-2082
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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 | 012734
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License Number State | NY
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