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General NPI Number Information
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NPI Number | 1093793754
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Entity Type | Individual
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Provider Name | ROMEO OCANA CENIZA JR. PT
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 160 BIESTERFIELD RD
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3657
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Country | US
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Telephone | 847-285-4210
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Fax | 847-437-1287
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Provider Business Mailing Address
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Address Line | 638 DOVER DR
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City | ELGIN
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State | IL
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Zip | 60120-7611
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Country | US
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Telephone | 630-667-4746
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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 |
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License Number State | IL
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