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General NPI Number Information
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NPI Number | 1295850683
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Entity Type | Organization
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Legal Business Name | MORRISON AND ASSOCIATES PEDIATRIC THERAPISTS, LLC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 531 N BRAINARD AVE
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City | LA GRANGE PARK
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State | IL
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Zip | 60526-5520
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Country | US
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Telephone | 708-203-0569
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Fax |
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Provider Business Mailing Address
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Address Line | 531 N BRAINARD AVE
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City | LA GRANGE PARK
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State | IL
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Zip | 60526-5520
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Country | US
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Telephone | 708-203-0569
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE DOYLE MORRISON
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Credential | MS, OTRL
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Telephone | 708-203-0569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State | IL
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