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General NPI Number Information
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NPI Number | 1962575795
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Entity Type | Individual
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Provider Name | CYNTHIA J GINDER P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 114 W STRATFORD DR SUITE 2B
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City | PEORIA
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State | IL
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Zip | 61614-7301
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Country | US
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Telephone | 309-685-2855
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Fax | 309-685-2844
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Provider Business Mailing Address
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Address Line | 4 TIMBER OAKS DR
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City | METAMORA
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State | IL
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Zip | 61548-8508
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Country | US
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Telephone | 309-676-9010
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Fax | 309-367-2069
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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 | 70001159
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License Number State | IL
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