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General NPI Number Information
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NPI Number | 1225331408
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Entity Type | Organization
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Legal Business Name | CARRIE CROZIER ARENA DPT
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 315 W 63RD ST
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City | WESTMONT
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State | IL
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Zip | 60559-2620
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Country | US
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Telephone | 630-968-6969
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Fax | 630-968-8938
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Provider Business Mailing Address
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Address Line | 315 W 63RD ST
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City | WESTMONT
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State | IL
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Zip | 60559-2620
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Country | US
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Telephone | 630-968-6969
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Fax |
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Authorized Official
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Title or Position | D.P.T.
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Name | CARRIE CROZIER ARENA
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Credential |
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Telephone | 630-968-6969
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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 | 070-017175
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License Number State | IL
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