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General NPI Number Information
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NPI Number | 1154133866
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Entity Type | Organization
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Legal Business Name | GOODMAN TRAINING, LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 735 E JEFFERSON ST
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City | BENSENVILLE
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State | IL
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Zip | 60106-3160
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Country | US
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Telephone | 630-207-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 FALLING WATERS DR E
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City | BURR RIDGE
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State | IL
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Zip | 60527-0724
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Country | US
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Telephone | 630-207-5900
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | SUSAN BLUM
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Credential |
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Telephone | 630-207-5900
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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 |
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License Number State |
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