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General NPI Number Information
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NPI Number | 1477073815
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Entity Type | Organization
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Legal Business Name | HUMMINGBIRD PEDIATRIC THERAPIES LLC
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 07/27/2017
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Provider Practice Location Address
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Address Line | 750 PASQUINELLI DR STE 204
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City | WESTMONT
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State | IL
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Zip | 60559-1291
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Country | US
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Telephone | 630-853-3374
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Fax | 630-789-8852
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Provider Business Mailing Address
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Address Line | 11 W BIRCHWOOD AVE
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City | HINSDALE
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State | IL
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Zip | 60521-2804
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Country | US
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Telephone | 630-853-3374
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Fax | 630-789-8852
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHRISTINA JOSEPHINE SCALISE MORRISSEY
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Credential | MS
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Telephone | 630-853-3374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180006197
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 164001003
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 070005890
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 056004913
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 056005059
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146011452
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146011796
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146005080
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License Number State | IL
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