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General NPI Number Information
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NPI Number | 1447184833
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Entity Type | Individual
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Provider Name | TIERNEY SMITH
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Gender | Female
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 2555 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60614-1768
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Country | US
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Telephone | 773-755-7566
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 N MARION CT
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City | CHICAGO
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State | IL
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Zip | 60622-7580
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Country | US
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Telephone | 310-692-5494
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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 | 070.39931
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License Number State | IL
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