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General NPI Number Information
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NPI Number | 1619268521
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Entity Type | Organization
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Legal Business Name | SEE WHAT EYE SEE LOW VISION REHABILITATION INC
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 08/24/2011
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Provider Practice Location Address
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Address Line | 17112 OAK PARK AVE
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City | TINLEY PARK
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State | IL
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Zip | 60477-3406
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Country | US
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Telephone | 708-407-6371
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Fax | 708-429-3167
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Provider Business Mailing Address
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Address Line | 17707 SAYRE AVE
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City | TINLEY PARK
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State | IL
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Zip | 60477-3908
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Country | US
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Telephone | 708-945-3165
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAMMY A PRICE
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Credential | OTR/L, CLVT
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Telephone | 708-407-6371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number | 056.004640
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License Number State | IL
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