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General NPI Number Information
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NPI Number | 1871838243
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Entity Type | Organization
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Legal Business Name | SENTIO THERAPIES LLC
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Dates
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Enumeration Date | 12/11/2012
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 1160 S MICHIGAN AVE SUITE 1005
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City | CHICAGO
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State | IL
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Zip | 60605-2776
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Country | US
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Telephone | 608-921-9398
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 S MICHIGAN AVE SUITE 1005
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City | CHICAGO
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State | IL
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Zip | 60605-2776
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Country | US
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Telephone | 608-921-9398
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Fax |
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Authorized Official
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Title or Position | BILLING SERVICE
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Name | KARIN RICHTER
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Credential |
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Telephone | 847-769-5316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146010889
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License Number State | IL
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