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General NPI Number Information
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NPI Number | 1275865230
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Entity Type | Organization
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Legal Business Name | KATE SHEAN INC
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 3829 WOODLAND AVE
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558-1119
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Country | US
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Telephone | 312-925-5325
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Fax |
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Provider Business Mailing Address
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Address Line | 3829 WOODLAND AVE
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558-1119
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Country | US
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Telephone | 312-925-5325
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN SHEAN
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Credential | MPT
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Telephone | 312-925-5325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 0700116272
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License Number State | IL
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