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General NPI Number Information
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NPI Number | 1285907162
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Entity Type | Individual
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Provider Name | HILARY ROSS M.A., O.T.R./L.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 165 S BLOOMINGDALE RD
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1434
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Country | US
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Telephone | 630-980-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 80 SUNSET AVE
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City | GLEN ELLYN
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State | IL
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Zip | 60137-5636
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Country | US
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Telephone | 314-504-1604
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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 | 056.008435
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License Number State | IL
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