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General NPI Number Information
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NPI Number | 1366573065
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Entity Type | Organization
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Legal Business Name | CHICAGO THERAPY SERVICES INC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 3650 NW 82ND AVE 307
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City | DORAL
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State | FL
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Zip | 33166-6658
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Country | US
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Telephone | 305-718-8811
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Fax | 305-718-8812
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Provider Business Mailing Address
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Address Line | 3650 NW 82ND AVE 307
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City | DORAL
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State | FL
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Zip | 33166-6658
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Country | US
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Telephone | 305-718-8811
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Fax | 305-718-8812
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROYNER PEREZ
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Credential |
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Telephone | 305-718-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 686886
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License Number State | FL
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