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General NPI Number Information
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NPI Number | 1225787658
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Entity Type | Organization
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Legal Business Name | SUNLYNX INC
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 2109 E 87TH ST
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City | CHICAGO
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State | IL
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Zip | 60617-3001
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Country | US
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Telephone | 773-983-2746
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Fax |
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Provider Business Mailing Address
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Address Line | 4634 S GREENWOOD AVE UNIT 2
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City | CHICAGO
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State | IL
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Zip | 60653-4584
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Country | US
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Telephone | 513-923-0946
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | ROBERT O JOHNSON
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Credential | MS
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Telephone | 513-923-0946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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