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General NPI Number Information
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NPI Number | 1477442804
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Entity Type | Individual
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Provider Name | ZACHARY GRIFFITH DPT
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Gender | Male
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1640 W ROOSEVELT RD
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City | CHICAGO
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State | IL
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Zip | 60608-1316
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Country | US
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Telephone | 312-413-8043
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Fax |
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Provider Business Mailing Address
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Address Line | 616 W SURF ST APT 3
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City | CHICAGO
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State | IL
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Zip | 60657-9489
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Country | US
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Telephone | 217-722-6745
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 070029136
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 070.029136
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License Number State | IL
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