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General NPI Number Information
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NPI Number | 1225856206
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Entity Type | Organization
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Legal Business Name | NICE PHYSICAL THERAPY GROUP, PLLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 3202 N KILDARE AVE APT 1N
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City | CHICAGO
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State | IL
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Zip | 60641-4550
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Country | US
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Telephone | 630-439-6849
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Fax |
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Provider Business Mailing Address
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Address Line | 3202 N KILDARE AVE APT 1N
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City | CHICAGO
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State | IL
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Zip | 60641-4550
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Country | US
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Telephone | 630-439-6849
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR OF PHYSICAL THERAPY
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Name | PRIYA N PATEL
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Credential | PT, DPT, MBA
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Telephone | 630-439-6849
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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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