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General NPI Number Information
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NPI Number | 1548581606
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Entity Type | Organization
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Legal Business Name | TALRIC, INC.
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 2838 W WELLINGTON AVE
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City | CHICAGO
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State | IL
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Zip | 60618-7014
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Country | US
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Telephone | 773-368-5074
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Fax |
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Provider Business Mailing Address
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Address Line | 2838 W WELLINGTON AVE
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City | CHICAGO
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State | IL
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Zip | 60618-7014
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Country | US
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Telephone | 773-368-5074
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TALYA SMITH
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Credential | MA, CCC-SLP
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Telephone | 773-368-5074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146007629
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License Number State | IL
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