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General NPI Number Information
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NPI Number | 1922633346
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Entity Type | Organization
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Legal Business Name | AMERICAN SELECT REHAB SERVICES INC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 865 N CASS AVE
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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 | 630-400-8073
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 MIDWEST CLUB PKWY
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City | OAK BROOK
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State | IL
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Zip | 60523-2589
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Country | US
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Telephone | 630-400-8073
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PURNA SALADI
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Credential | PHYSICAL THERAPIST
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Telephone | 630-400-8073
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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 |
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