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General NPI Number Information
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NPI Number | 1063539005
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Entity Type | Organization
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Legal Business Name | MILDER AND ASSOCIATES
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 700 S BARTLETT RD
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City | BARTLETT
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State | IL
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Zip | 60103-4607
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Country | US
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Telephone | 630-483-7601
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Fax | 630-483-7801
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Provider Business Mailing Address
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Address Line | 25W560 GENEVA RD SUITE 4
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City | CAROL STREAM
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State | IL
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Zip | 60188-2233
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Country | US
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Telephone | 630-665-6810
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Fax | 630-665-7940
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES C. MILDER
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Credential | P.T.
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Telephone | 630-665-6810
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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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