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General NPI Number Information
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NPI Number | 1902553944
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Entity Type | Organization
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Legal Business Name | ATI HOLDINGS LLC
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 225 BRIERHILL DR STE A
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City | BEL AIR
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State | MD
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Zip | 21015-4958
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Country | US
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Telephone | 667-276-3093
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Fax | 443-576-5429
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone | 866-370-8206
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Fax | 517-435-3670
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALING
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Name | KATIE WATKINS
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Credential |
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Telephone | 630-296-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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