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General NPI Number Information
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NPI Number | 1922164243
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Entity Type | Individual
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Provider Name | FANG-LING LIN-MILLMAN M.S., OTL
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 6840 MAIN ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-3425
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Country | US
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Telephone | 630-275-8480
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Fax |
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Provider Business Mailing Address
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Address Line | 3551 HIGHLAND AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2100
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Country | US
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Telephone | 630-275-2600
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Fax | 630-275-2698
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.003427
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License Number State | IL
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