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General NPI Number Information
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NPI Number | 1801174867
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Entity Type | Organization
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Legal Business Name | LITTLE THERAPIES PC
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 07/25/2011
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Provider Practice Location Address
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Address Line | 2225 ENTERPRISE DR SUITE 2505
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City | WESTCHESTER
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State | IL
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Zip | 60154-5814
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Country | US
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Telephone | 773-837-9990
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 S WASHTENAW AVE
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City | CHICAGO
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State | IL
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Zip | 60608-2941
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Country | US
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Telephone | 773-837-9990
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. AKATA SHARMA
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Credential | MOT, OTR/L
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Telephone | 773-837-9990
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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 | 056008729
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License Number State | IL
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