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General NPI Number Information
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NPI Number | 1194526319
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Entity Type | Organization
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Legal Business Name | COLOR ALONG PEDIATRIC THERAPY
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 9651 W 153RD ST STE 58
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City | ORLAND PARK
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State | IL
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Zip | 60462-4601
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Country | US
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Telephone | 630-320-6904
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Fax |
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Provider Business Mailing Address
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Address Line | 9651 W 153RD ST STE 58
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City | ORLAND PARK
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State | IL
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Zip | 60462-4601
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Country | US
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Telephone | 630-320-6904
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Fax | 630-566-4153
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | MS. MUNIRA ABDULQADIR BADRI
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Credential | OTR/L
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Telephone | 630-320-6904
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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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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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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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