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NPI 1003035593

NPI 1003035593 : CARA E MURPHY PT : HIGHLAND PARK, IL

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General NPI Number Information
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    NPI Number           |    1003035593
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    Entity Type          |    Individual 
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    Provider Name        |    CARA E MURPHY PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/24/2007
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    Last Update Date     |    12/02/2008
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Provider Practice Location Address
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    Address Line         |    799 CENTRAL AVE SUITE 210
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    City                 |    HIGHLAND PARK
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    State                |    IL
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    Zip                  |    60035-5637
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    Country              |    US
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    Telephone            |    847-433-5502
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    Fax                  |    847-433-6682
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Provider Business Mailing Address
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    Address Line         |    205 W WACKER DR SUITE 1020
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60606-1216
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    Country              |    US
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    Telephone            |    312-640-0329
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    070013323
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    License Number State |    IL
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