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General NPI Number Information
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NPI Number | 1114294717
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Entity Type | Individual
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Provider Name | MR. ERIC ANTHONY PALATAN TAGUINOD
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Gender | Male
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Dates
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Enumeration Date | 11/27/2011
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Last Update Date | 11/27/2011
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Provider Practice Location Address
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Address Line | 730 W HINTZ RD
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City | WHEELING
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State | IL
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Zip | 60090-5501
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Country | US
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Telephone | 847-520-1783
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 W GOLF RD
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City | MT PROSPECT
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State | IL
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Zip | 60056-4027
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Country | US
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Telephone | 847-730-9454
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Fax | 847-378-8214
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 056.007783
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License Number State | IL
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