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General NPI Number Information
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NPI Number | 1750847539
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Entity Type | Organization
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Legal Business Name | VIBRATION THERAPY SOLUTIONS LLC
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 5241 S CICERO AVE
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City | CHICAGO
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State | IL
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Zip | 60632-4967
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Country | US
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Telephone | 779-225-0012
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Fax |
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Provider Business Mailing Address
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Address Line | 806 N PEORIA ST FL 5TH
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City | CHICAGO
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State | IL
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Zip | 60642-5438
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Country | US
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Telephone | 779-225-0012
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. SHERRY ANGELASTRO
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Credential |
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Telephone | 779-225-0012
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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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