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General NPI Number Information
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NPI Number | 1639473457
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Entity Type | Individual
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Provider Name | MS. ANGENETTE AYO ASAJU
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Gender | Female
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Dates
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Enumeration Date | 01/08/2011
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Last Update Date | 01/08/2011
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Provider Practice Location Address
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Address Line | 345 E SUPERIOR ST
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City | CHICAGO
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State | IL
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Zip | 60611-2654
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Country | US
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Telephone | 877-974-6383
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Fax | 877-974-6384
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Provider Business Mailing Address
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Address Line | 9001 S RICHMOND AVE
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-1345
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Country | US
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Telephone | 708-422-2812
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Fax |
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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 | 056.008406
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License Number State | IL
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