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General NPI Number Information
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NPI Number | 1528172830
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Entity Type | Individual
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Provider Name | VERONICA ARLEAN FORD OT
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4400 W 95TH ST SUITE 106
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City | OAK LAWN
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State | IL
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Zip | 60453-2654
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Country | US
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Telephone | 708-422-7758
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Fax | 708-422-8154
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Provider Business Mailing Address
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Address Line | 9730 S LA SALLE ST
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City | CHICAGO
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State | IL
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Zip | 60628-1332
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Country | US
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Telephone | 773-995-8572
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Fax | 773-995-8845
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056-002959
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License Number State | IL
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