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General NPI Number Information
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NPI Number | 1528437829
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Entity Type | Organization
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Legal Business Name | TOLGA YENILMEZ
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 1639 W SUMMERDALE AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60640-2026
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Country | US
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Telephone | 608-444-9146
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Fax |
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Provider Business Mailing Address
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Address Line | 1639 W SUMMERDALE AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60640-2026
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Country | US
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Telephone | 608-444-9146
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TOLGA YENILMEZ
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Credential | PT, DPT
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Telephone | 608-444-9146
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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 | 031908-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 12266-24
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 070020639
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License Number State | IL
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