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General NPI Number Information
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NPI Number | 1932585635
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Entity Type | Organization
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Legal Business Name | LOVING STRIDES THERAPY, P.C.
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 7526 FINNIE RD
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City | NEWARK
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State | IL
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Zip | 60541-9451
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Country | US
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Telephone | 630-878-8114
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Fax | 630-230-5068
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Provider Business Mailing Address
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Address Line | 7526 FINNIE RD
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City | NEWARK
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State | IL
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Zip | 60541-9451
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Country | US
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Telephone | 630-878-8114
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Fax | 630-230-5068
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MRS. MARCIA K PAKENHAM
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Credential | MPT
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Telephone | 630-878-8114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 070.010672
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 070.010672
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License Number State | IL
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Taxonomy #3
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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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