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General NPI Number Information
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NPI Number | 1447162342
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Entity Type | Organization
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Legal Business Name | AMA PT PC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 47 W POLK ST STE G15
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City | CHICAGO
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State | IL
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Zip | 60605-2768
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Country | US
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Telephone | 312-834-3533
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Fax |
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Provider Business Mailing Address
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Address Line | 135 SANDERS RD
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City | NORTHBROOK
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State | IL
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Zip | 60062-1103
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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 | EXECUTIVE DIRECTOR
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Name | ALISON DADRASS
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Credential | LSW, LBA
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Telephone | 734-612-9092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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