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General NPI Number Information
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NPI Number | 1528782281
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Entity Type | Organization
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Legal Business Name | ACHIEVE ORTHOPEDIC MANUAL THERAPY ORLAND PLLC
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 9121 159TH ST STE D
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City | ORLAND HILLS
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State | IL
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Zip | 60487-5902
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Country | US
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Telephone | 708-403-1155
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Fax | 708-403-1177
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Provider Business Mailing Address
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Address Line | PO BOX 228
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City | WILLOW SPRINGS
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State | IL
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Zip | 60480-0228
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Country | US
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Telephone | 630-300-3770
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Fax | 630-300-3820
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Authorized Official
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Title or Position | BILLING DIRECTOR/CRED REP
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Name | JANUARY LEWIS TUCKER
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Credential |
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Telephone | 630-300-3770
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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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