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General NPI Number Information
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NPI Number | 1346749298
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Entity Type | Individual
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Provider Name | DANIEL M TOBACK DPT
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Gender | Male
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1723 W MADISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-2606
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Country | US
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Telephone | 312-432-0900
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Fax | 312-432-0922
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Provider Business Mailing Address
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Address Line | 3801 N CAPITAL OF TEXAS HWY STE I100
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City | AUSTIN
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State | TX
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Zip | 78746-1504
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Country | US
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Telephone | 512-596-5535
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Fax | --
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1344606
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License Number State | TX
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