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General NPI Number Information
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NPI Number | 1184474710
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Entity Type | Organization
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Legal Business Name | EARLY BIRDS PEDIATRIC THERAPY PLLC
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 156 NOTTINGHAM DR
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1811
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Country | US
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Telephone | 630-335-5983
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Fax |
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Provider Business Mailing Address
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Address Line | 156 NOTTINGHAM DR
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1811
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Country | US
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Telephone | 630-335-5983
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Fax |
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Authorized Official
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Title or Position | OWNER/ OCCUPATIONAL THERAPIST
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Name | NATALIE D LOEWE
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Credential | MS, OTR/L
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Telephone | 630-335-5983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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