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General NPI Number Information
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NPI Number | 1750619805
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Entity Type | Organization
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Legal Business Name | BUSKIRK PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 7830 OLD GEORGETOWN RD SUITE C15
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City | BETHESDA
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State | MD
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Zip | 20814-2432
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Country | US
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Telephone | 301-951-5936
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Fax | 301-951-5937
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Provider Business Mailing Address
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Address Line | 3545 LAKE AVE SUITE 103
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City | WILMETTE
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State | IL
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Zip | 60091-1058
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Country | US
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Telephone | 847-251-2028
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Fax | 847-512-5064
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Authorized Official
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Title or Position | PRESIDENT/PHYSICAL THERAPIST
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Name | MR. JAMES K BUSKIRK
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Credential | P.T, SCS
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Telephone | 847-251-2028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | MD
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