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General NPI Number Information
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NPI Number | 1417055690
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Entity Type | Individual
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Provider Name | ANDREA ROSE WESTMORELAND PT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 716 W STATE ST UNIT 3
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City | GENEVA
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State | IL
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Zip | 60134-2194
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Country | US
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Telephone | 630-262-2633
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Fax | 630-262-2643
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Provider Business Mailing Address
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Address Line | PO BOX 416501
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City | BOSTON
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State | MA
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Zip | 02241-7594
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Country | US
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Telephone | 914-294-4050
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Fax | 631-760-8306
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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 | 070006660
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License Number State | IL
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