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General NPI Number Information
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NPI Number | 1255994000
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Entity Type | Individual
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Provider Name | OLIVIA S SENG
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Gender | Female
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 9301 N 76TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53223-1074
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Country | US
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Telephone | 309-397-4416
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 N BERKELEY BLVD
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City | WHITEFISH BAY
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State | WI
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Zip | 53217-5133
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Country | US
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Telephone | 309-397-4416
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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 | 096.004901
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 8754-26
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License Number State | WI
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