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General NPI Number Information
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NPI Number | 1114482171
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Entity Type | Individual
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Provider Name | NICOLE CHRISTINE NADROWSKI
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Gender | Female
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 1426 W BIRCHWOOD AVE
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City | CHICAGO
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State | IL
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Zip | 60626-1807
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Country | US
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Telephone | 773-274-4405
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Fax |
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Provider Business Mailing Address
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Address Line | 7559 W PALATINE AVE
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City | CHICAGO
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State | IL
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Zip | 60631-1824
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Country | US
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Telephone | 773-203-4687
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Fax |
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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 | 056011454
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License Number State | IL
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