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General NPI Number Information
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NPI Number | 1194854919
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Entity Type | Individual
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Provider Name | MARCIA K SORENSEN PT
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 7526 FINNIE RD
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City | NEWARK
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State | IL
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Zip | 60541-9451
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Country | US
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Telephone | 630-878-8114
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Fax | 630-230-3105
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Provider Business Mailing Address
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Address Line | 7526 FINNIE RD
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City | NEWARK
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State | IL
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Zip | 60541-9451
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Country | US
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Telephone | 308-788-1146
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Fax | 630-230-3105
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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 | 070010672
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License Number State | IL
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