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General NPI Number Information
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NPI Number | 1174012207
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Entity Type | Individual
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Provider Name | LEEANN HAHN
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Gender | Female
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 2044 N RAND RD APT 205
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City | PALATINE
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State | IL
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Zip | 60074-2559
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Country | US
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Telephone | 618-554-1547
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Fax |
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Provider Business Mailing Address
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Address Line | 220 N 1ST ST
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City | WHEELING
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State | IL
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Zip | 60090-2980
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Country | US
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Telephone |
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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 |
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License Number State | IL
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