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General NPI Number Information
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NPI Number | 1033124557
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Entity Type | Organization
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Legal Business Name | DYNAMIC HAND THERAPY & REHABILITATION LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 3900 WASHINGTON STREET SUITE B
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City | GURNEE
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State | IL
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Zip | 60031-5715
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Country | US
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Telephone | 847-336-2616
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Fax | 847-336-2676
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Provider Business Mailing Address
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Address Line | 3900 WASHINGTON STREET SUITE B
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City | GURNEE
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State | IL
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Zip | 60031-5715
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP, AUTHORIZED OFFICIAL
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Name | CHRISTOPHER D CORRIGAN
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Credential |
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Telephone | 713-297-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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