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General NPI Number Information
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NPI Number | 1023360278
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Entity Type | Individual
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Provider Name | JOYCE ANTOINETTE WESTFALL OTR/L, CHT
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Gender | Female
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 1111 SUPERIOR ST LL, OUTPATIENT OCCUPATIONAL THERAPY
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City | MELROSE PARK
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State | IL
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Zip | 60160-4138
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Country | US
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Telephone | 708-938-7756
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Fax | 708-938-7955
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Provider Business Mailing Address
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Address Line | 1225 W LAKE ST OUTPATIENT OCCUPATIONAL THERAPY
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City | MELROSE PARK
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State | IL
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Zip | 60160-4039
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Country | US
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Telephone | 708-938-7756
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Fax | 708-938-7955
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 056.002664
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License Number State | IL
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