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General NPI Number Information
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NPI Number | 1982214177
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Entity Type | Organization
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Legal Business Name | FINE TUNED PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 1732 1ST ST
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-3202
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Country | US
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Telephone | 617-413-9407
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Fax |
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Provider Business Mailing Address
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Address Line | 8906 LINCOLNWOOD DR
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City | EVANSTON
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State | IL
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Zip | 60203-1810
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | JENNIFER COHEN
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Credential | PT
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Telephone | 617-413-9407
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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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