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General NPI Number Information
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NPI Number | 1982174660
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Entity Type | Individual
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Provider Name | MONICA DEUTSCH DPT
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Gender | Female
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 1002 W DIVERSEY PKWY
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City | CHICAGO
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State | IL
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Zip | 60614-1317
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Country | US
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Telephone | 773-248-2578
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Fax |
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Provider Business Mailing Address
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Address Line | 2924 N RACINE AVE UNIT 1
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City | CHICAGO
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State | IL
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Zip | 60657-4224
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Country | US
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Telephone | 714-280-6980
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 070.026298
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License Number State | IL
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