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General NPI Number Information
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NPI Number | 1225232044
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Entity Type | Individual
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Provider Name | JULIE EBOHON EHIZEMWOGIE LEVEL 2 BEHAVIOR THE
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | CORNERSTONE SERVICES INC 777 JOYCE ROAD
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City | JOLIET
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State | IL
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Zip | 60436
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Country | US
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Telephone | 773-574-4730
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Fax | 815-744-6916
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Provider Business Mailing Address
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Address Line | CORNERSTONE SERVICES INC 777 JOYCE ROAD
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City | JOLIET
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State | IL
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Zip | 60436
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Country | US
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Telephone | 773-574-4730
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Fax | 815-744-6916
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 006210
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | IL
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