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General NPI Number Information
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NPI Number | 1366218422
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Entity Type | Individual
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Provider Name | JULIA GILL PT
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Gender | Female
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 10400 HALIGUS RD
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City | HUNTLEY
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State | IL
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Zip | 60142-9553
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Country | US
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Telephone | 224-654-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 5905 LEGACY LN
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City | SOUTH BELOIT
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State | IL
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Zip | 61080-9542
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Country | US
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Telephone | 815-540-0160
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 070.013177
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License Number State | IL
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