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General NPI Number Information
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NPI Number | 1851461511
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Entity Type | Individual
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Provider Name | ANNA MARIE OCONNOR PT
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 420 THATCHER AVE
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City | RIVER FOREST
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State | IL
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Zip | 60305-1635
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Country | US
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Telephone | 708-427-3650
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Fax | 708-427-3651
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Provider Business Mailing Address
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Address Line | 541 N ELMWOOD AVE APT 2
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City | OAK PARK
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State | IL
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Zip | 60302-2238
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Country | US
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Telephone | 708-383-3352
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Fax | 708-427-3651
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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 |
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License Number State | IL
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