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General NPI Number Information
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NPI Number | 1255589354
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Entity Type | Individual
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Provider Name | LOU MONTSERRAT ARAGO MAGALLANES OT
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 7445 N SHERIDAN RD
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City | CHICAGO
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State | IL
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Zip | 60626-1818
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Country | US
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Telephone | 312-898-9656
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Fax |
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Provider Business Mailing Address
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Address Line | 1334 W GREENLEAF AVE APT 1D
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City | CHICAGO
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State | IL
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Zip | 60626-6026
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0148341
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License Number State | NY
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