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General NPI Number Information
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NPI Number | 1972105336
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Entity Type | Individual
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Provider Name | CHRISTINA RONSON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 26W171 ROOSEVELT RD
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City | WHEATON
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State | IL
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Zip | 60187-6002
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Country | US
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Telephone | 630-909-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2629 SMITH ST
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-2274
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Country | US
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Telephone | 847-757-6987
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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 | 25084
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070.025597
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License Number State | IL
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