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General NPI Number Information
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NPI Number | 1538617493
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Entity Type | Organization
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Legal Business Name | TOTAL BODY PHYSICAL THERAPY SC
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 1121 E MAIN ST 240
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City | SAINT CHARLES
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State | IL
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Zip | 60174-2205
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Country | US
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Telephone | 630-587-5824
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Fax | 630-587-5834
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Provider Business Mailing Address
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Address Line | 1121 E MAIN ST 240
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City | SAINT CHARLES
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State | IL
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Zip | 60174-2205
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Country | US
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Telephone | 630-587-5824
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Fax | 630-587-5834
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARUN MANI
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Credential | DC
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Telephone | 630-587-5824
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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 | 070020447
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License Number State | IL
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