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General NPI Number Information
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NPI Number | 1154480341
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Entity Type | Organization
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Legal Business Name | WHITESTAR COMPANIES, LLC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 707 N LOGAN AVE
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City | DANVILLE
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State | IL
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Zip | 61832-4360
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Country | US
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Telephone | 217-433-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 873 HANCOCK DR
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City | DECATUR
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State | IL
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Zip | 62521-4231
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THEROPIST
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Name | NACI AKYILDIZ
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Credential |
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Telephone | 217-433-2020
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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 | IL
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