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General NPI Number Information
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NPI Number | 1225297823
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Entity Type | Individual
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Provider Name | SHEILA GUPTA MS,MS,OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 136 BIESTERFIELD ROAD
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City | ELKGROVE VILLAGE
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State | IL
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Zip | 60007
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Country | US
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Telephone | 847-956-5910
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Fax | 847-956-5420
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Provider Business Mailing Address
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Address Line | 600 OAKMONT LANE 600C
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City | WESTMONT
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State | IL
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Zip | 60559-5548
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Country | US
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Telephone | 630-575-1980
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Fax | 630-928-5080
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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 | 056002365
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License Number State | IL
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