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General NPI Number Information
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NPI Number | 1891479754
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Entity Type | Organization
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Legal Business Name | ALEDLI MOBILITY 1ST INC
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 865 N CASS AVE FL 4
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City | WESTMONT
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State | IL
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Zip | 60559-6404
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Country | US
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Telephone | 815-212-1952
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Fax | 866-314-7043
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Provider Business Mailing Address
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Address Line | 628 W 55TH ST
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City | HINSDALE
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State | IL
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Zip | 60521-4357
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Country | US
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Telephone | 815-212-1952
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Fax | 866-314-7043
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSE ALCANTARA
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Credential |
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Telephone | 815-212-1952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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