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General NPI Number Information
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NPI Number | 1881231082
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Entity Type | Individual
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Provider Name | NOA BEN-SIMON DPT
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Gender | Female
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Dates
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Enumeration Date | 12/06/2019
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 455 LAKE COOK RD
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City | DEERFIELD
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State | IL
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Zip | 60015-5202
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Country | US
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Telephone | 224-285-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 9020 KEYSTONE AVE
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City | SKOKIE
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State | IL
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Zip | 60076-1724
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Country | US
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Telephone | 773-563-3239
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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 | 070.024727
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License Number State | IL
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