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NPI 1003930694

NPI 1003930694 : DEBORAH LYNN SOLOMON OTRL : HIGHLAND PARK, IL

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General NPI Number Information
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    NPI Number           |    1003930694
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH LYNN SOLOMON OTRL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/19/2007
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    Last Update Date     |    06/24/2025
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Provider Practice Location Address
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    Address Line         |    1450 OLD SKOKIE RD 
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    City                 |    HIGHLAND PARK
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    State                |    IL
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    Zip                  |    60035-3032
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    Country              |    US
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    Telephone            |    847-831-1477
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1150 LINDEN AVE 
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    City                 |    DEERFIELD
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    State                |    IL
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    Zip                  |    60015-2132
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    Country              |    US
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    Telephone            |    847-607-0768
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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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    
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    License Number State |    IL
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