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General NPI Number Information
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NPI Number | 1609658814
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Entity Type | Organization
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Legal Business Name | NOOR PEDIATRIC THERAPY
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 257 ACORN DR
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City | STREAMWOOD
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State | IL
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Zip | 60107-2211
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Country | US
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Telephone | 630-297-7552
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Fax |
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Provider Business Mailing Address
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Address Line | 257 ACORN DR
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City | STREAMWOOD
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State | IL
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Zip | 60107-2211
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | SARAH AHMED
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Credential | OTR/L
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Telephone | 630-297-7552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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