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General NPI Number Information
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NPI Number | 1740179324
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Entity Type | Individual
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Provider Name | HANNAH BURCK OTR, OTD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1003 N DAMEN AVE
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City | CHICAGO
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State | IL
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Zip | 60622-4391
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Country | US
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Telephone | 312-348-6288
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Fax |
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Provider Business Mailing Address
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Address Line | 847 W ADDISON ST APT 1R
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City | CHICAGO
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State | IL
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Zip | 60613-5999
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Country | US
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Telephone | 317-840-9144
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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 | 056.016611
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License Number State | IL
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