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General NPI Number Information
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NPI Number | 1629923479
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Entity Type | Individual
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Provider Name | GINA CHRISTINE RAO PTA
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Gender | Female
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 2901 S OVERLAND RD
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City | ONEIDA
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State | WI
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Zip | 54155-8959
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Country | US
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Telephone | 920-869-6747
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Fax | 920-869-6790
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Provider Business Mailing Address
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Address Line | PO BOX 365
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City | ONEIDA
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State | WI
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Zip | 54155-0365
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Country | US
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Telephone | 920-869-2711
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Fax | 920-869-1780
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2940-19
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License Number State | WI
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