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General NPI Number Information
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NPI Number | 1083733935
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Entity Type | Organization
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Legal Business Name | JUDITH FLORENDO, PC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 600 N MCCLURG CT A312
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City | CHICAGO
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State | IL
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Zip | 60611-3044
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Country | US
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Telephone | 312-337-8840
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Fax | 312-337-9334
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Provider Business Mailing Address
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Address Line | 600 N MCCLURG CT A312
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City | CHICAGO
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State | IL
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Zip | 60611-3044
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Country | US
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Telephone | 312-337-8840
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Fax | 312-337-9334
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Authorized Official
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Title or Position | PRESIDEND
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Name | JUDITH FLORENDO
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Credential | P. T.
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Telephone | 312-337-8840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070004706
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License Number State | IL
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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 | 070009984
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License Number State | IL
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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 | 070012388
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License Number State | IL
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