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General NPI Number Information
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NPI Number | 1649772245
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Entity Type | Individual
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Provider Name | ZARA SADIKOT MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 1640 N WELLS ST UNIT 103
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City | CHICAGO
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State | IL
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Zip | 60614-6006
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Country | US
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Telephone | 312-642-4302
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Fax |
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Provider Business Mailing Address
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Address Line | 1464 S MICHIGAN AVE APT 1002
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City | CHICAGO
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State | IL
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Zip | 60605-3633
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Country | US
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Telephone | 631-569-0086
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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 | 056.012252
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License Number State | IL
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