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General NPI Number Information
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NPI Number | 1053131367
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Entity Type | Organization
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Legal Business Name | A NUGGET OF KNOWLEDGE PLLC
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 647 HARBOR TER
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City | BARTLETT
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State | IL
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Zip | 60103-4832
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Country | US
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Telephone | 630-220-0181
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Fax |
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Provider Business Mailing Address
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Address Line | 647 HARBOR TER
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City | BARTLETT
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State | IL
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Zip | 60103-4832
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Country | US
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Telephone | 630-220-0181
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE NUGENT
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Credential | MOT, OTR/L
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Telephone | 630-220-0181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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