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General NPI Number Information
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NPI Number | 1659039824
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Entity Type | Individual
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Provider Name | DEBORAH ANN JACKSON PTA
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Gender | Female
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Dates
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Enumeration Date | 12/03/2021
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 1525 E MAIN ST
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City | STREATOR
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State | IL
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Zip | 61364-3162
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Country | US
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Telephone | 815-672-4516
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Fax |
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Provider Business Mailing Address
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Address Line | 934 E WATER ST
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City | PONTIAC
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State | IL
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Zip | 61764-2149
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Country | US
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Telephone | 618-267-0756
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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