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General NPI Number Information
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NPI Number | 1770986358
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Entity Type | Individual
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Provider Name | MS. BRITNEY HELMUTH
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Gender | Female
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 03/02/2017
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Provider Practice Location Address
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Address Line | 3397 COUNTY HIGHWAY 23
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City | SIGEL
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State | IL
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Zip | 62462-1097
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Country | US
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Telephone | 217-663-2314
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 CONGRESSIONAL WAY
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City | CHAMPAIGN
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State | IL
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Zip | 61822
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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 | 056.010746
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License Number State | IL
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