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General NPI Number Information
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NPI Number | 1770009078
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Entity Type | Organization
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Legal Business Name | ADVANCED PHYSICAL THERAPY AND PAIN SOLUTIONS LLC
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 15 SPINNING WHEEL RD STE 232
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City | HINSDALE
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State | IL
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Zip | 60521-7654
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Country | US
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Telephone | 630-487-1078
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Fax |
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Provider Business Mailing Address
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Address Line | 323 REGAL CT
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City | CLARENDON HILLS
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State | IL
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Zip | 60514-1569
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Country | US
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Telephone | 773-683-2353
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Fax | 773-442-0046
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Authorized Official
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Title or Position | DIRECTOR
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Name | RAKESH NAMBIAR
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Credential | PT
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Telephone | 630-487-1078
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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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