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General NPI Number Information
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NPI Number | 1528734233
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Entity Type | Individual
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Provider Name | ANNETTE TAPANG
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Gender | Female
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Dates
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Enumeration Date | 08/22/2021
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Last Update Date | 08/22/2021
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Provider Practice Location Address
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Address Line | 3450 SARATOGA AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1141
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Country | US
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Telephone | 630-969-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 HOBSON LN
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City | AURORA
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State | IL
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Zip | 60503-7613
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Country | US
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Telephone | 630-518-2982
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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 |
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License Number State |
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