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General NPI Number Information
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NPI Number | 1063229508
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Entity Type | Organization
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Legal Business Name | GROW WITH THE FLOW PEDIATRIC THERAPY PLLC
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 520 S STATE ST APT 1502
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City | CHICAGO
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State | IL
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Zip | 60605-1663
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Country | US
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Telephone | 559-917-5485
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Fax |
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Provider Business Mailing Address
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Address Line | 520 S STATE ST APT 1502
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City | CHICAGO
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State | IL
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Zip | 60605-1663
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Country | US
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Telephone | 559-917-5485
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | DR. BIANCA ROE
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Credential | OTD, OTR/L, RDN, CLC
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Telephone | 559-917-5485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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