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General NPI Number Information
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NPI Number | 1982228383
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Entity Type | Organization
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Legal Business Name | NAVIGATE PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 3115 LEWIS AVE
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City | ZION
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State | IL
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Zip | 60099-3099
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Country | US
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Telephone | 224-800-7564
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Fax | 630-924-0462
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Provider Business Mailing Address
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Address Line | PO BOX 72180
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City | ROSELLE
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State | IL
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Zip | 60172-0180
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Country | US
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Telephone | 630-924-0156
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Fax | 630-924-0462
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA MATTESON
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Credential | LPT
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Telephone | 224-800-7564
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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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