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General NPI Number Information
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NPI Number | 1427060706
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Entity Type | Organization
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Legal Business Name | PRES PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 874 S IL ROUTE 59
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City | BARTLETT
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State | IL
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Zip | 60103-1633
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Country | US
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Telephone | 630-837-2705
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Fax | 630-837-2686
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Provider Business Mailing Address
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Address Line | 874 S IL ROUTE 59
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City | BARTLETT
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State | IL
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Zip | 60103-1633
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Country | US
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Telephone | 630-837-2705
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Fax | 630-837-2686
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Authorized Official
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Title or Position | PHYSICAL THERAPIST / OWNER
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Name | MR. PRASAD SATYA BHOGARAJU
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Credential | P.T.
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Telephone | 630-837-2705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | IL
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