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General NPI Number Information
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NPI Number | 1114334679
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Entity Type | Individual
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Provider Name | REENA JULIE CHERIAN PT
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Gender | Female
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 1601 N FARNSWORTH AVE
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City | AURORA
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State | IL
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Zip | 60505-1509
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Country | US
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Telephone | 630-244-9544
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Fax |
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Provider Business Mailing Address
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Address Line | 2980 CLARA AVE
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City | AURORA
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State | IL
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Zip | 60502-9646
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Country | US
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Telephone | 630-229-2577
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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 | 070014011
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License Number State | IL
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