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General NPI Number Information
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NPI Number | 1427356583
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Entity Type | Individual
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Provider Name | ROSE MARIE TALOSIG DAYAG PT
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Gender | Female
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | 8596 E 101ST ST STE H
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City | TULSA
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State | OK
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Zip | 74133-7037
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Country | US
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Telephone | 918-251-5982
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Fax | 800-856-2020
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Provider Business Mailing Address
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Address Line | 8909 BELLEFORTE AVE
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City | MORTON GROVE
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State | IL
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Zip | 60053-2018
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Country | US
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Telephone | 773-431-7187
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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 | 070.018060
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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 | 031816
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License Number State | NY
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