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General NPI Number Information
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NPI Number | 1255102091
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Entity Type | Individual
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Provider Name | RUTH SCHEINBERG
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Gender | Female
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 6234 N CENTRAL PARK AVE
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City | CHICAGO
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State | IL
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Zip | 60659-2202
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Country | US
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Telephone | 347-633-8376
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Fax |
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Provider Business Mailing Address
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Address Line | 6630 N RICHMOND ST
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City | CHICAGO
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State | IL
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Zip | 60645-4211
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Country | US
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Telephone | 773-571-6250
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 242.007635
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License Number State | IL
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