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General NPI Number Information
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NPI Number | 1437682903
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Entity Type | Organization
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Legal Business Name | BETH ANNE SOLEM PEDIATRIC THERAPY INC.
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 2112 HENLEY ST
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City | GLENVIEW
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State | IL
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Zip | 60025-4160
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Country | US
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Telephone | 847-401-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 HENLEY ST
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City | GLENVIEW
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State | IL
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Zip | 60025-4160
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Country | US
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Telephone | 847-401-0035
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | BETH ANNE SOLEM
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Credential | P.T.
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Telephone | 847-401-0035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State | IL
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