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General NPI Number Information
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NPI Number | 1205187184
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Entity Type | Individual
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Provider Name | BERNICE LIONGSON ORLINA PT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 230 E IRVING PARK RD ELMHURST MEMORIAL HEALTHCARE
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City | WOOD DALE
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State | IL
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Zip | 60191-2039
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Country | US
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Telephone | 630-285-2010
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Fax | 630-285-2011
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Provider Business Mailing Address
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Address Line | 4200 MANNHEIM RD
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City | SCHILLER PARK
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State | IL
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Zip | 60176-1872
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Country | US
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Telephone |
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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 | 070.008338
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License Number State | IL
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