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General NPI Number Information
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NPI Number | 1063209369
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Entity Type | Individual
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Provider Name | NICOLE M VOIGTS
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 535 E NORTH ST STE A
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City | BRADLEY
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State | IL
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Zip | 60915-1188
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Country | US
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Telephone | 815-954-8797
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Fax |
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Provider Business Mailing Address
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Address Line | 936 HAWTHORNE LN
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City | KANKAKEE
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State | IL
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Zip | 60901-4621
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Country | US
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Telephone | 815-386-0667
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227018009
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License Number State | IL
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