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General NPI Number Information
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NPI Number | 1114101532
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Entity Type | Organization
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Legal Business Name | MEETING MILESTONES LLC
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 3422 W 73RD PL
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City | CHICAGO
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State | IL
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Zip | 60629-3514
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Country | US
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Telephone | 773-206-7122
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Fax | 773-298-8395
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Provider Business Mailing Address
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Address Line | 3422 W 73RD PL
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City | CHICAGO
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State | IL
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Zip | 60629-3514
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Country | US
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Telephone | 773-206-7122
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Fax | 773-288-8395
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Authorized Official
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Title or Position | CEO
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Name | KEENA HOYLE
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Credential | OT
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Telephone | 773-206-7122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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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 | 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 #3
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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 | IL
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