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General NPI Number Information
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NPI Number | 1033265467
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Entity Type | Organization
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Legal Business Name | SEQUOIA THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17838 HARPER RD
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City | TINLEY PARK
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State | IL
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Zip | 60477-2139
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Country | US
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Telephone | 708-532-5350
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Fax | 815-550-8703
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Provider Business Mailing Address
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Address Line | 17838 HARPER RD
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City | TINLEY PARK
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State | IL
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Zip | 60477-2139
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Country | US
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Telephone | 708-532-5350
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Fax | 815-550-8703
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SURESH REDDY KARRA
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Credential |
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Telephone | 708-532-5350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | IL
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