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General NPI Number Information
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NPI Number | 1659235810
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Entity Type | Individual
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Provider Name | RUDY DELANEY
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Gender | Male
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1223 EDGEWATER DR
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City | MORRIS
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State | IL
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Zip | 60450-2504
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Country | US
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Telephone | 815-302-3279
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 LAYNE CT
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City | SHOREWOOD
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State | IL
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Zip | 60404-0652
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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 |
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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 | 056-015955
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License Number State | IL
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