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General NPI Number Information
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NPI Number | 1710359054
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Entity Type | Individual
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Provider Name | PAULA LEWINSKI
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Gender | Female
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 2357 HASSELL RD STE 204 STE 204
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-2172
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Country | US
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Telephone | 224-622-3790
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Fax | 847-839-9660
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Provider Business Mailing Address
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Address Line | 2357 HASSELL RD STE 204
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-2172
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Country | US
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Telephone | 224-622-3790
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Fax | 847-839-9660
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1415636
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number | 1410359054
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1415636
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License Number State | IL
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