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General NPI Number Information
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NPI Number | 1285974311
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL HEALTH SERVICES 1
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 4204 E LINCOLNWAY AVE. SUITE D
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City | STERLING
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State | IL
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Zip | 61081
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Country | US
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Telephone | 815-548-9444
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Fax | 815-548-9446
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Provider Business Mailing Address
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Address Line | 4204 E LINCOLNWAY AVE. SUITE D
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City | STERLING
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State | IL
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Zip | 61081
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Country | US
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Telephone | 815-548-9444
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Fax | 815-548-9446
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Authorized Official
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Title or Position | V.P. / PHYSICAL THERAPIST
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Name | MR. DONALD W EARLY
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Credential | MPT
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Telephone | 815-548-9444
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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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