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General NPI Number Information
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NPI Number | 1881123776
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Entity Type | Individual
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Provider Name | PAIGE ELIZABETH GRANIER PT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 06/05/2017
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Provider Practice Location Address
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Address Line | 200 VILLAGE DR
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-3046
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Country | US
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Telephone | 630-487-5779
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Fax |
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Provider Business Mailing Address
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Address Line | 457 OLD SURREY RD
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City | HINSDALE
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State | IL
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Zip | 60521-8120
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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 |
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License Number State |
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