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General NPI Number Information
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NPI Number | 1093981185
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Entity Type | Individual
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Provider Name | TAMMI A STONE PT
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Gender | Female
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 16321 OLCOTT AVE
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City | TINLEY PARK
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State | IL
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Zip | 60477-1518
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Country | US
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Telephone | 630-248-0827
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Fax | 708-429-3759
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Provider Business Mailing Address
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Address Line | 16321 OLCOTT AVE
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City | TINLEY PARK
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State | IL
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Zip | 60477-1518
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Country | US
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Telephone | 630-248-0827
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Fax | 708-429-3759
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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 | 070-005214
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License Number State | IL
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