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General NPI Number Information
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NPI Number | 1619865003
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Entity Type | Organization
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Legal Business Name | MANE APPROACH, LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1948 ESSINGTON RD STE B
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City | JOLIET
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State | IL
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Zip | 60435-1615
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Country | US
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Telephone | 708-941-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 25327 W ROCK DR
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City | PLAINFIELD
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State | IL
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Zip | 60586-7314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALISON NORDSTROM
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Credential |
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Telephone | 708-941-8881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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