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General NPI Number Information
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NPI Number | 1427855972
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Entity Type | Organization
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Legal Business Name | STAY FIT PT
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1500 OLD DEERFIELD RD STE 7
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3067
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Country | US
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Telephone | 847-502-0784
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Fax |
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Provider Business Mailing Address
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Address Line | 126 HIGH ST
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City | HIGHWOOD
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State | IL
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Zip | 60040-1800
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE LENS
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Credential | PHYSICAL THERAPIST
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Telephone | 847-502-0784
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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 |
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