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General NPI Number Information
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NPI Number | 1992165609
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Entity Type | Organization
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Legal Business Name | MME SERVIES, LTD
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 1140 N MCLEAN BLVD
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City | ELGIN
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State | IL
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Zip | 60123-1782
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Country | US
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Telephone | 312-375-6255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 641
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City | HINSDALE
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State | IL
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Zip | 60522-0641
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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 | OWNER
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Name | MR. LUIS MALDONADO
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Credential | P.T.
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Telephone | 312-375-6255
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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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