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General NPI Number Information
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NPI Number | 1053754879
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Entity Type | Organization
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Legal Business Name | REHABCARE
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 4538 N BEACON ST
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City | CHICAGO
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State | IL
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Zip | 60640-5519
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Country | US
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Telephone | 773-275-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 4538 N BEACON ST
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City | CHICAGO
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State | IL
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Zip | 60640-5519
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Country | US
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Telephone |
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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 | ESTHER ZIGUN
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Credential |
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Telephone | 248-875-5724
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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 | 056.009987
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License Number State | IL
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