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General NPI Number Information
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NPI Number | 1700971454
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Entity Type | Individual
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Provider Name | TETIANA D APPEL P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 2140 BABCOCK RD SUITE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4424
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Country | US
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Telephone | 210-593-0578
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Fax | 210-614-3261
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Provider Business Mailing Address
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Address Line | 474 N LAKE SHORE DR UNIT 5803
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City | CHICAGO
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State | IL
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Zip | 60611-3400
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1155298
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License Number State | TX
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