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General NPI Number Information
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NPI Number | 1013385905
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Entity Type | Individual
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Provider Name | KATHERINE M CEISEL PT
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Gender | Female
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/12/2017
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Provider Practice Location Address
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Address Line | 852 GREEN BAY RD
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City | WINNETKA
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State | IL
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Zip | 60093-1853
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Country | US
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Telephone | 847-441-5788
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Fax | 847-784-8720
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Provider Business Mailing Address
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Address Line | 8000 S LINCOLN ST STE 6
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City | LITTLETON
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State | CO
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Zip | 80122-2704
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Country | US
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Telephone | 630-575-6250
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Fax | 630-575-7450
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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 | 070021695
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License Number State | IL
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