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General NPI Number Information
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NPI Number | 1164384681
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Entity Type | Organization
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Legal Business Name | CERTIFIED LYMPHATICS PLLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 672 TERRY RD
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-3329
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Country | US
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Telephone | 630-965-6721
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Fax |
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Provider Business Mailing Address
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Address Line | 672 TERRY RD
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-3329
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Country | US
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Telephone | 630-965-6721
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/CERTIFIED LYMPH
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Name | JANET BENEDICT
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Credential | PT, DPT, CLT-LANA
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Telephone | 630-965-6721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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