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General NPI Number Information
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NPI Number | 1144939281
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Entity Type | Organization
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Legal Business Name | TURQUOISE THERAPEUTICS PLLC
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 155 N KINGSWAY DR
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City | AURORA
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State | IL
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Zip | 60506-7330
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Country | US
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Telephone | 708-646-7384
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Fax |
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Provider Business Mailing Address
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Address Line | 155 N KINGSWAY DR
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City | AURORA
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State | IL
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Zip | 60506-7330
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Country | US
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Telephone | 708-505-2345
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MEGAN ZIMAN
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Credential | PT, ATC
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Telephone | 708-646-7384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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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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