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General NPI Number Information
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NPI Number | 1851491799
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Entity Type | Individual
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Provider Name | CAROL LYNN HALL OT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3105 N WILKE RD SUITE H
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1495
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Country | US
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Telephone | 847-255-8690
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Fax | 847-255-2260
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Provider Business Mailing Address
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Address Line | 10412 N CHURCH ST
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City | HUNTLEY
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State | IL
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Zip | 60142-7158
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Country | US
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Telephone | 847-515-8010
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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 |
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License Number State | IL
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