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General NPI Number Information
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NPI Number | 1003332859
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Entity Type | Organization
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Legal Business Name | BEE LOVED KIDS THERAPY, INC.
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1020 S EAST AVE
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City | OAK PARK
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State | IL
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Zip | 60304-2104
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Country | US
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Telephone | 630-240-1817
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 S EAST AVE
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City | OAK PARK
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State | IL
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Zip | 60304-2104
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Country | US
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Telephone | 630-240-1817
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Fax | 888-977-2018
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Authorized Official
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Title or Position | PRESIDENT, TREASURER
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Name | HAVIVA BATSHEVA SIEGEL
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Credential | PT
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Telephone | 630-240-1817
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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 | 070019150
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License Number State | IL
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