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General NPI Number Information
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NPI Number | 1225409329
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Entity Type | Organization
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Legal Business Name | ALLIANCE REHAB SERVICES LLC
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 1230 PARK AVE W 231
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2263
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Country | US
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Telephone | 708-941-4250
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Fax | 888-990-0375
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Provider Business Mailing Address
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Address Line | 1230 PARK AVE W 231
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2263
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Country | US
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Telephone | 708-941-4250
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Fax | 888-990-0375
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Authorized Official
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Title or Position | COO
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Name | MR. MUHAMMAD I HAQ
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Credential |
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Telephone | 708-941-4250
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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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