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General NPI Number Information
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NPI Number | 1871173211
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Entity Type | Organization
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Legal Business Name | SUNFLOWER PEDIATRIC THERAPY & FAMILY SERVICES
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 7920 WOODGLEN LN APT 101
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-4577
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Country | US
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Telephone | 630-233-4977
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Fax | 630-566-5856
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Provider Business Mailing Address
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Address Line | 7920 WOODGLEN LN APT 101
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-4577
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Country | US
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Telephone | 630-607-9062
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | KRISTEN ANDERSON
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Credential | MA CCC-SLP/L
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Telephone | 630-607-9062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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