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General NPI Number Information
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NPI Number | 1356707731
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Entity Type | Organization
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Legal Business Name | SPECIAL THERAPY CARE CHARTERED
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 4507 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2621
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Country | US
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Telephone | 708-422-5500
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Fax | 708-422-7389
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Provider Business Mailing Address
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Address Line | 4507 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2621
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Country | US
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Telephone | 708-422-5500
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Fax | 708-422-7389
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Authorized Official
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Title or Position | DIRECTOR
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Name | SANTILA L TERRY
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Credential | DROT
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Telephone | 708-422-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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