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General NPI Number Information
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NPI Number | 1649490269
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Entity Type | Individual
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Provider Name | MELINDA SEITZINGER MSPT
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 222 S RIVERSIDE PLZ # 830
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City | CHICAGO
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State | IL
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Zip | 60606-5808
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Country | US
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Telephone | 312-416-3804
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Fax |
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Provider Business Mailing Address
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Address Line | 4048 N CAMPBELL AVE # 2
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City | CHICAGO
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State | IL
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Zip | 60618-3702
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Country | US
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Telephone | 773-968-1118
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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 | 70011611
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License Number State | IL
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