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General NPI Number Information
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NPI Number | 1801142898
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Entity Type | Individual
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Provider Name | JANET T YOSHIDA-GORDON OTR/L, CHT
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Gender | Female
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 2233 W DIVISION ST
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City | CHICAGO
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State | IL
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Zip | 60622-8151
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Country | US
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Telephone | 312-770-3420
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Fax | 312-770-2992
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Provider Business Mailing Address
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Address Line | 4709 N MONTICELLO AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60625-6429
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Country | US
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Telephone | 312-330-1681
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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 | 056-002020
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License Number State | IL
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