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General NPI Number Information
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NPI Number | 1508360645
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Entity Type | Individual
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Provider Name | CATHERINE BORDERS
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Gender | Female
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 1401 S CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60608-1858
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Country | US
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Telephone | 773-522-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 Q ST NW APT 644
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City | WASHINGTON
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State | DC
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Zip | 20007-4347
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Country | US
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Telephone | 847-778-2116
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036159854
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License Number State | IL
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