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General NPI Number Information
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NPI Number | 1285344747
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Entity Type | Organization
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Legal Business Name | TAGOM PHYSICAL THERAPY AND REHABILITATION
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Dates
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Enumeration Date | 11/24/2022
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Last Update Date | 11/24/2022
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Provider Practice Location Address
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Address Line | 200 FOX GLEN CT
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City | BARRINGTON
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State | IL
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Zip | 60010-1809
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Country | US
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Telephone | 847-722-7831
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 JOSEPHINE CT
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City | PALATINE
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State | IL
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Zip | 60067-7282
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Country | US
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Telephone | 847-722-7831
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | GAMAL S BEHERY
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Credential |
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Telephone | 847-722-7831
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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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