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General NPI Number Information
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NPI Number | 1184249930
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Entity Type | Organization
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Legal Business Name | TAKE PRIDE PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 4001 N RAVENSWOOD AVE STE 402
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City | CHICAGO
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State | IL
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Zip | 60613-2434
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Country | US
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Telephone | 917-579-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 W DICKENS AVE
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City | CHICAGO
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State | IL
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Zip | 60647-3409
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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 | DOCTOR OF PHYSICAL THERAPY, OWNER
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Name | DR. SARAH ECKER
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Credential | PT, DPT
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Telephone | 917-579-8250
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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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