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General NPI Number Information
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NPI Number | 1154182715
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Entity Type | Organization
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Legal Business Name | OT-LIZ PLLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 2400 N LAKEVIEW AVE APT 1801
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City | CHICAGO
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State | IL
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Zip | 60614-2739
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Country | US
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Telephone | 773-791-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 N LAKEVIEW AVE APT 1801
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City | CHICAGO
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State | IL
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Zip | 60614-2739
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Country | US
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Telephone | 773-791-3303
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LIZABETH METZGER
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Credential | OT
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Telephone | 773-599-0202
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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 |
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License Number State |
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