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General NPI Number Information
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NPI Number | 1801702956
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Entity Type | Individual
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Provider Name | JEREMY JON MANLAPAZ
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Gender | Male
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 1010 EXECUTIVE DR STE 250
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City | WESTMONT
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State | IL
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Zip | 60559-6137
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Country | US
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Telephone | 630-655-8785
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Fax |
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Provider Business Mailing Address
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Address Line | 437 SPRUCE CT
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City | SCHAUMBURG
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State | IL
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Zip | 60193-1528
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Country | US
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Telephone | 773-992-6506
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 056.027254
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License Number State | IL
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