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General NPI Number Information
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NPI Number | 1801005335
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Entity Type | Individual
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Provider Name | DANIEL PINTO PT
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 645 N MICHIGAN AVE SUITE 1100
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City | CHICAGO
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State | IL
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Zip | 60611-2826
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Country | US
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Telephone | 312-503-6375
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Fax |
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Provider Business Mailing Address
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Address Line | 645 N MICHIGAN AVE SUITE 1100
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City | CHICAGO
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State | IL
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Zip | 60611-2826
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Country | US
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Telephone | 312-503-6375
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 10130-024
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 070017777
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License Number State | IL
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