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General NPI Number Information
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NPI Number | 1487878336
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Entity Type | Individual
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Provider Name | HELEN DIANNE COX DEVELOPMENTAL THERAP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 634 E ASH ST
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City | CANTON
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State | IL
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Zip | 61520-2016
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Country | US
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Telephone | 309-647-9744
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Fax | 309-647-4394
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Provider Business Mailing Address
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Address Line | 22925 N TOMAHAWK TRL
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City | CUBA
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State | IL
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Zip | 61427-8500
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Country | US
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Telephone | 309-647-9744
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Fax | 309-647-4394
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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