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General NPI Number Information
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NPI Number | 1114772126
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Entity Type | Organization
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Legal Business Name | THERAPIA, LLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 778 W FRONTAGE RD STE 103
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City | NORTHFIELD
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State | IL
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Zip | 60093-1209
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Country | US
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Telephone | 847-627-9471
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Fax |
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Provider Business Mailing Address
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Address Line | 8143 N CLIFTON AVE
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City | NILES
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State | IL
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Zip | 60714-2309
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Country | US
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Telephone | 847-627-9471
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESA KAY BOZIKIS HOFFMAN
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Credential | CCC-SLP, CLC
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Telephone | 847-627-9471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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