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General NPI Number Information
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NPI Number | 1780139253
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Entity Type | Organization
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Legal Business Name | INTEGRATED THERAPY SERVICES
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 08/24/2016
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Provider Practice Location Address
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Address Line | 102 N JACKSON ST
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City | NEWTON
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State | IL
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Zip | 62448-1900
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Country | US
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Telephone | 618-783-7529
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Fax |
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Provider Business Mailing Address
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Address Line | 102 N JACKSON ST
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City | NEWTON
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State | IL
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Zip | 62448-1900
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Country | US
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Telephone | 618-783-7529
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH WEILER
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Credential |
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Telephone | 618-783-7529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149015563
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 160005508
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056008112
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146012895
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 242003718
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146008181
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License Number State | IL
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