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General NPI Number Information
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NPI Number | 1356154256
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Entity Type | Individual
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Provider Name | MS. TAJUANIA POLLARD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 207 S MIDLAND AVE
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City | JOLIET
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State | IL
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Zip | 60436-1305
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Country | US
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Telephone | 815-741-7629
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 W 104TH PL
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City | CHICAGO
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State | IL
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Zip | 60643-3002
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Country | US
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Telephone | 312-200-7708
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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