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General NPI Number Information
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NPI Number | 1356564579
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Entity Type | Individual
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Provider Name | NARESH KUMAR SOOD OT
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 493 S YORK ST
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City | ELMHURST
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State | IL
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Zip | 60126-3944
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Country | US
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Telephone | 630-834-5416
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Fax | 630-834-2213
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Provider Business Mailing Address
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Address Line | 181 ASHTON DR
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City | BURR RIDGE
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State | IL
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Zip | 60527-0310
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Country | US
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Telephone | 708-373-6048
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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 |
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License Number State | IL
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