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General NPI Number Information
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NPI Number | 1891655122
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Entity Type | Individual
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Provider Name | KARINNA WESLEY DPT
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 900 E 103RD ST
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City | CHICAGO
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State | IL
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Zip | 60628-3033
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Country | US
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Telephone | 773-468-2963
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Fax |
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Provider Business Mailing Address
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Address Line | 5080 SPECTRUM DR STE 1200
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City | ADDISON
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State | TX
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Zip | 75001-4648
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Country | US
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Telephone | 270-799-6411
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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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