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NPI 1225170046

NPI 1225170046 : TALI EINGAL OT : SKOKIE, IL

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General NPI Number Information
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    NPI Number           |    1225170046
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    Entity Type          |    Individual 
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    Provider Name        |    TALI EINGAL OT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/12/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    5225 OLD ORCHARD RD SUITE 18
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    City                 |    SKOKIE
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    State                |    IL
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    Zip                  |    60077-4405
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    Country              |    US
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    Telephone            |    847-663-1020
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    Fax                  |    847-663-1022
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Provider Business Mailing Address
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    Address Line         |    2168 W GIDDINGS ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60625-1424
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    Country              |    US
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    Telephone            |    773-506-2806
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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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    
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    License Number State |    IL
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