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General NPI Number Information
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NPI Number | 1891041703
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Entity Type | Organization
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Legal Business Name | THE RCD GROUP, INC.
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Dates
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Enumeration Date | 07/29/2012
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Last Update Date | 07/29/2012
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Provider Practice Location Address
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Address Line | 26165 W RAVINE WOODS DR
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City | CHANNAHON
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State | IL
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Zip | 60410-3286
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Country | US
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Telephone | 815-521-1571
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Fax |
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Provider Business Mailing Address
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Address Line | 26165 W RAVINE WOODS DR
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City | CHANNAHON
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State | IL
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Zip | 60410-3286
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Country | US
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Telephone | 815-521-1571
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. RACHEL C DAVIDSON
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Credential | MS CCC-SLP/L
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Telephone | 815-351-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 146.007201
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License Number State | IL
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