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General NPI Number Information
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NPI Number | 1346200201
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Entity Type | Individual
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Provider Name | CORINNE MARIE WEBB PT MPT
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 06/15/2017
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Provider Practice Location Address
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Address Line | 1505 US HIGHWAY 41
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City | SCHERERVILLE
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State | IN
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Zip | 46375-1321
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Country | US
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Telephone | 219-322-5560
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Fax | 219-322-1549
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Provider Business Mailing Address
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Address Line | 625 ENTERPRISE DR
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City | OAK BROOK
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State | IL
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Zip | 60523-8813
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Country | US
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Telephone | 630-575-1981
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Fax | 630-928-5016
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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 | 070012994
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05012336A
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License Number State | IN
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