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General NPI Number Information
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NPI Number | 1609219336
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Entity Type | Organization
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Legal Business Name | LSC THERAPY GROUP, P.C.
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 20635 ABBEY WOODS CT N STE 209
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City | FRANKFORT
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State | IL
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Zip | 60423-3181
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Country | US
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Telephone | 708-528-7953
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Fax |
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Provider Business Mailing Address
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Address Line | 20635 ABBEY WOODS CT N STE 209
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City | FRANKFORT
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State | IL
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Zip | 60423-3181
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Country | US
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Telephone | 708-528-7953
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | LAURA ANN SCOTT-CRUSING
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Credential | MA
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Telephone | 708-528-7953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 180002806
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License Number State | IL
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