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General NPI Number Information
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NPI Number | 1871831388
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Entity Type | Organization
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Legal Business Name | ADVANCE PHYSICAL THERAPY ILLINI COMMUNITY HOSPITAL LLC
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 201 N MISSISSIPPI ST
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City | PITTSFIELD
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State | IL
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Zip | 62363-1410
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Country | US
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Telephone | 217-285-4512
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Fax | 217-285-5740
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Provider Business Mailing Address
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Address Line | 160 PROGRESS RD STE 111
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City | HANNIBAL
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State | MO
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Zip | 63401-6630
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Country | US
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Telephone | 573-600-6540
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Fax | 573-600-6541
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Authorized Official
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Title or Position | PARTNER
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Name | JASON STRATTON
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Credential |
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Telephone | 217-222-6800
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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 |
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License Number State | IL
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