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General NPI Number Information
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NPI Number | 1225040850
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Entity Type | Individual
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Provider Name | ANN T FLANAGAN P.T.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 2211 N OAK PARK AVE
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City | CHICAGO
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State | IL
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Zip | 60707-3351
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Country | US
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Telephone | 773-385-5574
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 N LOMBARD AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1435
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Country | US
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Telephone | 708-524-5250
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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 | 070-004000
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License Number State | IL
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