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General NPI Number Information
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NPI Number | 1831951177
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Entity Type | Individual
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Provider Name | TAKUMI USUI PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 711 W MAXWELL ST
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City | CHICAGO
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State | IL
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Zip | 60607-5016
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Country | US
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Telephone | 315-355-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 647 W DEMING PL APT GR
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City | CHICAGO
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State | IL
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Zip | 60614-2631
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Country | US
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Telephone |
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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 | 070.027078
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License Number State | IL
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