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General NPI Number Information
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NPI Number | 1881291268
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Entity Type | Individual
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Provider Name | SANA HASAN OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 14200 S 82ND AVE
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City | ORLAND PARK
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State | IL
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Zip | 60462-2306
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Country | US
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Telephone | 708-407-3501
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Fax |
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Provider Business Mailing Address
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Address Line | 14772 LAKEVIEW DR
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City | ORLAND PARK
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State | IL
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Zip | 60462-3372
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Country | US
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Telephone |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 056.013859
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License Number State |
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