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General NPI Number Information
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NPI Number | 1669622668
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Entity Type | Individual
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Provider Name | HILARY LEE MPH, MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 1700 W CORTLAND ST SUITE 207
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City | CHICAGO
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State | IL
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Zip | 60622-1121
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Country | US
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Telephone | 773-278-6503
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Fax |
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Provider Business Mailing Address
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Address Line | 2106 SWEET DRIFT CIR
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City | CONROE
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State | TX
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Zip | 77384-2706
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 120123
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056008465
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License Number State | IL
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