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General NPI Number Information
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NPI Number | 1285186254
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Entity Type | Organization
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Legal Business Name | DORR-WOOD LTD
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 1001 RAIL DR
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City | WOODSTOCK
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State | IL
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Zip | 60098-9411
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Country | US
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Telephone | 815-337-7010
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Fax | 815-337-7127
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Provider Business Mailing Address
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Address Line | 600 BORDEN ST
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City | WOODSTOCK
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State | IL
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Zip | 60098-2137
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Country | US
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Telephone | 815-338-6440
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Fax | 815-338-6803
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ROBERT M NORRIS
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Credential |
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Telephone | 815-338-6440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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