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General NPI Number Information
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NPI Number | 1386959641
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Entity Type | Individual
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Provider Name | KARA LYNN INFANTE PT
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Gender | Female
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 270 W YORK ST UNIT 3711
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City | NORFOLK
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State | VA
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Zip | 23510-1556
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Country | US
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Telephone | 847-494-6370
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Fax |
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Provider Business Mailing Address
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Address Line | 11245 DOUGLAS AVE
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City | HUNTLEY
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State | IL
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Zip | 60142-6942
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Country | US
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Telephone | 847-494-6370
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070018009
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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 | 2305208537
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License Number State | VA
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