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General NPI Number Information
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NPI Number | 1437942240
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Entity Type | Individual
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Provider Name | HALEY GAMA PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/24/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1575 N RIVERCENTER DR
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City | MILWAUKEE
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State | WI
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Zip | 53212-3978
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Country | US
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Telephone | 414-224-6424
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 735044
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City | CHICAGO
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State | IL
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Zip | 60673-5044
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Country | US
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Telephone | 800-326-2250
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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 | 17220-24
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License Number State | WI
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