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General NPI Number Information
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NPI Number | 1174604722
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Entity Type | Individual
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Provider Name | HILLEGONDA TROMP P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/27/2020
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Provider Practice Location Address
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Address Line | 6926 39TH AVE
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City | KENOSHA
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State | WI
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Zip | 53142
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Country | US
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Telephone | 262-942-0163
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Fax | 262-948-3920
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Provider Business Mailing Address
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Address Line | 600 OAKMONT LN STE 600C
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City | WESTMONT
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State | IL
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Zip | 60559-5548
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Country | US
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Telephone | 630-590-1980
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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 | 4850-024
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License Number State | WI
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