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General NPI Number Information
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NPI Number | 1255844759
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Entity Type | Organization
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Legal Business Name | ASCEND PHYSICAL THERAPY INCORPORATED
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 15752 S LA GRANGE RD STE 15
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City | ORLAND PARK
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State | IL
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Zip | 60462-4766
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Country | US
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Telephone | 708-778-3445
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Fax |
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Provider Business Mailing Address
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Address Line | 8316 BROMLEY ST
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City | ORLAND PARK
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State | IL
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Zip | 60462-2871
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Country | US
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Telephone | 708-268-6842
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Fax | 708-778-3478
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | NUHA Y HASAN
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Credential | DPT
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Telephone | 708-778-3445
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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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