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General NPI Number Information
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NPI Number | 1871302414
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Entity Type | Individual
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Provider Name | HANNAH DZIURA PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 7125 JANES AVE STE 200
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City | WOODRIDGE
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State | IL
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Zip | 60517-2341
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Country | US
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Telephone | 630-541-3652
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Fax |
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Provider Business Mailing Address
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Address Line | 326 S CASS AVE APT 1E
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City | WESTMONT
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State | IL
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Zip | 60559-1949
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Country | US
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Telephone | 708-288-1361
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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 | 070.028816
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License Number State | IL
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