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NPI 1710611363

NPI 1710611363 : EMMA PRZESLICKE PT, DPT : ELMHURST, IL

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General NPI Number Information
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    NPI Number           |    1710611363
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    Entity Type          |    Individual 
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    Provider Name        |    EMMA PRZESLICKE PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/11/2022
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    Last Update Date     |    07/29/2022
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Provider Practice Location Address
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    Address Line         |    275 N YORK ST STE 300 
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    City                 |    ELMHURST
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    State                |    IL
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    Zip                  |    60126-2784
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    Country              |    US
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    Telephone            |    630-279-4852
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    275 N YORK ST STE 300 
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    City                 |    ELMHURST
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    State                |    IL
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    Zip                  |    60126-2784
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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       |    070026717
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    License Number State |    IL
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