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General NPI Number Information
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NPI Number | 1689201063
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Entity Type | Individual
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Provider Name | MS. SARAH MARIE DEPILLO
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Gender | Female
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 03/25/2020
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Provider Practice Location Address
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Address Line | 2150 FOUNDERS DR
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City | NORTHBROOK
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State | IL
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Zip | 60062-2125
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Country | US
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Telephone | 847-559-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 523 W MINER ST APT 202
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-1346
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Country | US
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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 | 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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