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General NPI Number Information
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NPI Number | 1568595072
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Entity Type | Individual
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Provider Name | ANGELINA TARANTELLO
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4525 WEAVER PKWY STE 310
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City | WARRENVILLE
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State | IL
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Zip | 60555-0317
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Country | US
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Telephone | 800-223-9230
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Fax |
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Provider Business Mailing Address
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Address Line | 32 PATTERSON AVE
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City | BRANTFORD
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State | ONTARIO
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Zip | N3S6X2
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Country | CA
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Telephone |
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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 | 5357
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 62028625
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 17751
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License Number State | MA
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