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General NPI Number Information
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NPI Number | 1013141746
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Entity Type | Organization
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Legal Business Name | ABSOLUTE REHAB
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Dates
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Enumeration Date | 05/09/2009
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 1012 W. 95TH ST, 95TH STREET MEDICAL BUILDING SUITE - 10
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City | NAPERVILLE
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State | IL
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Zip | 60564-5041
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Country | US
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Telephone | 630-631-6253
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 W. 95TH ST, 95TH STREET MEDICAL BUILDING SUITE - 10
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City | NAPERVILLE
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State | IL
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Zip | 60564-5041
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Country | US
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Telephone | 630-631-6253
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RITU KOUL
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Credential | PHYSICAL THERAPIST
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Telephone | 630-631-6253
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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 | 070.009972
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License Number State | IL
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