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General NPI Number Information
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NPI Number | 1003258765
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Entity Type | Individual
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Provider Name | MARY CATHERINE CASEY DPT
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Gender | Female
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 4022 N ROCKWELL
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City | CHICAGO
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State | IL
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Zip | 60618
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Country | US
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Telephone | 773-844-0240
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Fax |
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Provider Business Mailing Address
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Address Line | 4020 N ROCKWELL ST
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City | CHICAGO
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State | IL
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Zip | 60618-3721
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Country | US
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Telephone | 773-844-0240
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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 | 070-019935
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License Number State | IL
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