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General NPI Number Information
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NPI Number | 1891589925
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Entity Type | Organization
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Legal Business Name | SOLARA THERAPY, LLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1823 W 47TH ST
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City | CHICAGO
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State | IL
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Zip | 60609-3843
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Country | US
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Telephone | 773-296-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 2835 N SHEFFIELD AVE STE 500
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City | CHICAGO
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State | IL
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Zip | 60657-5084
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Country | US
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Telephone | 773-296-2400
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MAURICE BROWNLEE
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Credential | APRB-FPA
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Telephone | 404-548-1212
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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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