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General NPI Number Information
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NPI Number | 1396484887
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Entity Type | Organization
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Legal Business Name | PATHWAYS ACADEMY FOR SPECIAL EDUCATION
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 3003 W TOUHY AVE
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City | CHICAGO
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State | IL
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Zip | 60645-2833
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Country | US
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Telephone | 773-340-1490
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 W LUNT AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-2615
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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 | ADMINISTRATOR
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Name | FRAYDA COHEN
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Credential |
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Telephone | 773-372-7657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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