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General NPI Number Information
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NPI Number | 1548771181
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Entity Type | Organization
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Legal Business Name | URBAN KIDS, P.C.
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 11729 WOODSIDE CT
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City | BURR RIDGE
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State | IL
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Zip | 60527-8050
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Country | US
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Telephone | 630-915-7022
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Fax |
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Provider Business Mailing Address
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Address Line | 11729 WOODSIDE CT
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City | BURR RIDGE
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State | IL
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Zip | 60527-8050
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Country | US
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Telephone | 630-915-7022
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | ANNE URBAN
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Credential | MS, OTR/L
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Telephone | 630-915-7022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 056.008526
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License Number State | IL
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