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General NPI Number Information
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NPI Number | 1295134377
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Entity Type | Individual
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Provider Name | AMINAH CHAUDHARY
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Gender | Female
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 700 E OGDEN AVE SUITE 108
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City | WESTMONT
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State | IL
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Zip | 60559-5569
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Country | US
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Telephone | 630-881-8032
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Fax |
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Provider Business Mailing Address
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Address Line | 19W180 18TH PL
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City | LOMBARD
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State | IL
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Zip | 60148-5007
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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 | 056.010416
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License Number State | IL
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