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General NPI Number Information
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NPI Number | 1174725881
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Entity Type | Individual
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Provider Name | ELLYN M POLLARD OTR
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | LAKE FOREST HOSPITAL 660 WESTMORELAND DR.
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City | LAKE FOREST
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State | IL
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Zip | 60045
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Country | US
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Telephone | 847-535-8060
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Fax |
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Provider Business Mailing Address
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Address Line | 7429 CLAREWOOD LN
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City | GURNEE
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State | IL
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Zip | 60031-5340
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Country | US
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Telephone | 847-543-1236
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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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