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General NPI Number Information
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NPI Number | 1104647031
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Entity Type | Organization
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Legal Business Name | STRIVE FOR INDEPENDENCE, INC
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1919 S HIGHLAND AVE STE 119C
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City | LOMBARD
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State | IL
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Zip | 60148-6134
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Country | US
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Telephone | 630-984-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 S HIGHLAND AVE STE 119C
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City | LOMBARD
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State | IL
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Zip | 60148-6134
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Country | US
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Telephone | 630-984-1919
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Fax |
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Authorized Official
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Title or Position | PART OWNER, DRIVER REHAB SPECIALIST
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Name | ANNE HEGBERG
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Credential | OTR/L, CDRS
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Telephone | 630-984-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224ZR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapy Assistant
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License Number |
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License Number State |
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