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General NPI Number Information
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NPI Number | 1235288119
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Entity Type | Organization
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Legal Business Name | PREVENTION WORK, INC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 1049 REDONDO DR
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City | ROMEOVILLE
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State | IL
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Zip | 60446-3705
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Country | US
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Telephone | 815-886-5982
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Fax | 815-886-5983
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Provider Business Mailing Address
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Address Line | 23005 S KENT RD
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City | CHANNAHON
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State | IL
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Zip | 60410-3019
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Country | US
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Telephone | 815-467-3831
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Fax | 815-467-3989
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TERRY ROAT
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Credential | OTR
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Telephone | 630-548-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070.003158
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 057000054
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License Number State | IL
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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 | 870002850
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 160000783
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 225XE1200X
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Taxonomy Name | Ergonomics Occupational Therapist
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License Number | 0560000256
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056000256
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License Number State | IN
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