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General NPI Number Information
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NPI Number | 1346457330
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Entity Type | Organization
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Legal Business Name | POST REHABILITATIVE SOLUTIONS, INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 3450 MONTGOMERY RD STE 21
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City | AURORA
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State | IL
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Zip | 60504-3149
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Country | US
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Telephone | 630-236-8600
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Fax | 630-236-8612
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Provider Business Mailing Address
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Address Line | 3450 MONTGOMERY RD STE 21
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City | AURORA
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State | IL
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Zip | 60504-3149
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Country | US
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Telephone | 630-236-8600
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Fax | 630-236-8612
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MATTHEW ALLEN PETRY
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Credential | D.C.
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Telephone | 630-236-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38-009285
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License Number State | IL
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