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General NPI Number Information
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NPI Number | 1447988233
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Entity Type | Organization
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Legal Business Name | THEORY PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 7545 W 159TH ST
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City | TINLEY PARK
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State | IL
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Zip | 60477-9305
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Country | US
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Telephone | 708-691-0321
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Fax |
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Provider Business Mailing Address
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Address Line | 7545 W 159TH ST
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City | TINLEY PARK
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State | IL
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Zip | 60477-9305
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Country | US
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Telephone | 708-691-0321
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DENA TADROS
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Credential | DPT
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Telephone | 708-691-0321
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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 |
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License Number State |
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