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General NPI Number Information
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NPI Number | 1073549424
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Entity Type | Organization
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Legal Business Name | STRATFORD PHYSICAL MEDICINE LTD
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 290 SPRINGFILED DRIVE SUITE 255
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2293
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Country | US
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Telephone | 847-222-0878
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Fax | 847-222-0878
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Provider Business Mailing Address
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Address Line | 290 SPRINGFILED DRIVE SUITE 255
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2293
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Country | US
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Telephone | 847-222-0878
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Fax | 847-222-1087
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEEL PATEL
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Credential |
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Telephone | 847-222-0878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 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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