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General NPI Number Information
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NPI Number | 1548387244
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Entity Type | Organization
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Legal Business Name | MALDONADO O'CONNELL LTD.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 1455 S MICHIGAN AVE STE. 230
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City | CHICAGO
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State | IL
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Zip | 60605-2771
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Country | US
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Telephone | 312-360-0702
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Fax | 312-360-0705
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Provider Business Mailing Address
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Address Line | 1455 S MICHIGAN AVE STE. 230
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City | CHICAGO
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State | IL
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Zip | 60605-2771
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Country | US
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Telephone | 312-360-0702
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Fax | 312-360-0705
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LUIS A MALDONADO
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Credential | P.T.
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Telephone | 312-360-0702
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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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