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General NPI Number Information
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NPI Number | 1588900450
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Entity Type | Individual
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Provider Name | TRACY H NAKASHIMA OT
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Gender | Female
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Dates
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Enumeration Date | 12/21/2012
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 2200 GOLF RD
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City | GLENVIEW
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State | IL
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Zip | 60025-4903
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Country | US
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Telephone | 847-657-7100
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Fax | 847-998-8273
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Provider Business Mailing Address
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Address Line | 2222 SULLIVAN TRL
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City | EASTON
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State | PA
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Zip | 18040-7958
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Country | US
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Telephone | 800-944-9782
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Fax | 610-438-2046
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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 | 056.001577
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License Number State | IL
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