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General NPI Number Information
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NPI Number | 1437244647
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Entity Type | Organization
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Legal Business Name | COMPLETE PAIN MANAGEMENT LLC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 1 TRANSAM PLAZA DR SUITE 100
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4822
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Country | US
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Telephone | 630-627-7500
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Fax | 630-627-7502
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Provider Business Mailing Address
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Address Line | 1 TRANSAM PLAZA DR SUITE 100
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4822
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Country | US
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Telephone | 630-627-7500
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Fax | 630-627-7502
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES H GRUFT
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Credential | M.D.
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Telephone | 630-920-0015
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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 | 070010605
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070002880
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 036080153
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License Number State | IL
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