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General NPI Number Information
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NPI Number | 1912408030
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Entity Type | Individual
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Provider Name | STEPHANIE ARIAS OTR
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Gender | Female
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 1675 DEMPSTER ST
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City | PARK RIDGE
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State | IL
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Zip | 60068-1110
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Country | US
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Telephone | 847-318-9330
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Fax | 847-723-9441
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-3803
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Country | US
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Telephone | 773-799-4589
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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 | 056.012405
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License Number State | IL
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