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General NPI Number Information
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NPI Number | 1841953890
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Entity Type | Organization
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Legal Business Name | SHIFT MEDICAL, LTD.
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 750 N ORLEANS ST STE 101
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City | CHICAGO
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State | IL
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Zip | 60654-5051
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Country | US
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Telephone | 312-566-4210
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Fax | 312-277-5252
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Provider Business Mailing Address
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Address Line | 750 N ORLEANS ST STE 101
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City | CHICAGO
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State | IL
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Zip | 60654-5051
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Country | US
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Telephone | 312-566-4210
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARI LEVY
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Credential | MD
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Telephone | 312-566-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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