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General NPI Number Information
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NPI Number | 1043407968
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Entity Type | Organization
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Legal Business Name | SARA E KNIGHT, PC
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 06/22/2008
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Provider Practice Location Address
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Address Line | 13633 S POTAWATOMI TRL
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City | HOMER GLEN
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State | IL
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Zip | 60491-6700
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Country | US
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Telephone | 630-649-0509
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Fax |
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Provider Business Mailing Address
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Address Line | 13633 S POTAWATOMI TRL
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City | HOMER GLEN
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State | IL
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Zip | 60491-6700
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Country | US
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Telephone | 630-649-0509
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. SARA E KNIGHT
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Credential | OTR/L
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Telephone | 630-649-0509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 056005573
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License Number State | IL
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