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General NPI Number Information
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NPI Number | 1427487701
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Entity Type | Individual
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Provider Name | MRS. ORAWAN SAENGSURIYA
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Gender | Female
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 89 S EVERGREEN AVE
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-1427
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Country | US
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Telephone | 847-259-5209
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Fax |
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Provider Business Mailing Address
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Address Line | 208 S GREENWOOD AVE
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City | PALATINE
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State | IL
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Zip | 60074-6333
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Country | US
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Telephone | 847-963-0481
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227008332
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License Number State | IL
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