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General NPI Number Information
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NPI Number | 1235615576
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Entity Type | Individual
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Provider Name | JOANNE ZIA ATC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 9697 SAINT CATHERINES DR STE 103
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-2119
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Country | US
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Telephone | 262-577-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 637 N WALNUT LN
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City | SCHAUMBURG
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State | IL
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Zip | 60194-2636
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Country | US
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Telephone | 224-659-4896
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1800-39
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License Number State | WI
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