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General NPI Number Information
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NPI Number | 1346530334
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Entity Type | Organization
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Legal Business Name | COMPLETE THERAPY CARE INC
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 12/28/2011
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Provider Practice Location Address
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Address Line | 5301 TOUHY AVE SUITE 201
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City | SKOKIE
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State | IL
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Zip | 60077-3247
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Country | US
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Telephone | 847-329-7530
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 TOUHY AVE SUITE 201
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City | SKOKIE
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State | IL
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Zip | 60077-3247
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Country | US
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Telephone | 847-329-7530
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | VERMILY PATELONA
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Credential |
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Telephone | 847-329-7530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251H1300X
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Taxonomy Name | Human Factors Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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