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General NPI Number Information
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NPI Number | 1295857787
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Entity Type | Organization
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Legal Business Name | DAN KING THERAPY SERVICES
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 521 S LA GRANGE RD SUITE 204-A
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City | LA GRANGE
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State | IL
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Zip | 60525-6700
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Country | US
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Telephone | 708-482-9788
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Fax | 708-482-9789
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Provider Business Mailing Address
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Address Line | 521 S LA GRANGE RD SUITE 204-A
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City | LA GRANGE
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State | IL
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Zip | 60525-6700
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Country | US
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Telephone | 708-482-9788
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Fax | 708-482-9789
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Authorized Official
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Title or Position | OWNER
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Name | MR. DANIEL JOSEPH KING
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Credential | PT
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Telephone | 630-230-9788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 203.000443
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License Number State | IL
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