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General NPI Number Information
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NPI Number | 1750446357
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Entity Type | Individual
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Provider Name | DEBORAH KRIEGER CRISTINO OTR
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Gender | Female
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Dates
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Enumeration Date | 12/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 755 SKOKIE BLVD
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City | NORTHBROOK
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State | IL
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Zip | 60062-2805
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Country | US
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Telephone | 847-272-7426
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Fax | 847-412-6440
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Provider Business Mailing Address
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Address Line | 8718 N OZANAM AVE
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City | NILES
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State | IL
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Zip | 60714-1928
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Country | US
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Telephone | 847-581-0963
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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 | 549014
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License Number State | IL
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