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General NPI Number Information
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NPI Number | 1114682150
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Entity Type | Individual
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Provider Name | KATHERINE WILLIAMS OTD
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Gender | Female
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 11/06/2021
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Provider Practice Location Address
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Address Line | 150 E HURON ST STE 803
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City | CHICAGO
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State | IL
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Zip | 60611-2912
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Country | US
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Telephone | 312-640-2473
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Fax |
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Provider Business Mailing Address
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Address Line | 3627 N KEELER AVE # 3N
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City | CHICAGO
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State | IL
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Zip | 60641-3014
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Country | US
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Telephone | 949-648-2735
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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 | 056.014550
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License Number State | IL
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