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General NPI Number Information
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NPI Number | 1215119078
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Entity Type | Individual
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Provider Name | SUSAN MARY SIMNICK PT
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Gender | Female
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 4624 PERSHING AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2655
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Country | US
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Telephone | 630-968-3672
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9215
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City | NAPERVILLE
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State | IL
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Zip | 60567-0215
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Country | US
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Telephone | 630-922-9680
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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 |
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License Number State | IL
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