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General NPI Number Information
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NPI Number | 1902080906
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Entity Type | Organization
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Legal Business Name | LITTLE BYRDIES, LLC
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 29W451 EMERALD GREEN DRIVE UNIT B
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City | WARRENVILLE
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State | IL
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Zip | 60555
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Country | US
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Telephone | 630-209-3508
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Fax | 877-209-3508
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 1066
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City | WARRENVILLE
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State | IL
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Zip | 60555-7066
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Country | US
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Telephone | 630-209-3508
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Fax | 877-209-3508
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Authorized Official
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Title or Position | MANAGER
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Name | JANICE R. BYRD
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Credential |
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Telephone | 630-209-3508
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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 |
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License Number State |
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