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NPI 1881090249

NPI 1881090249 : THERAPY BUDDIES INC : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1881090249
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    Entity Type          |    Organization 
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    Legal Business Name  |    THERAPY BUDDIES INC 
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Dates
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    Enumeration Date     |    11/13/2014
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    Last Update Date     |    05/13/2015
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Provider Practice Location Address
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    Address Line         |    1429 N WELLS ST UNIT 502
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60610-2559
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    Country              |    US
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    Telephone            |    847-209-5353
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1429 N WELLS ST UNIT 502
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60610-2559
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    Country              |    US
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    Telephone            |    847-209-5353
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SPEECH LANGUAGE PATHOLOGIST
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    Name                 |    MS. TANYA LOTZOF TOPPER 
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    Credential           |    M.S.
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    Telephone            |    847-209-5353
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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       |    146010960
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    License Number State |    IL
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