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General NPI Number Information
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NPI Number | 1932416047
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Entity Type | Organization
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Legal Business Name | INTEGRATION INTERNATIONAL INC
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 5101 N KIMBALL AVE
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City | CHICAGO
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State | IL
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Zip | 60625-4807
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Country | US
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Telephone | 773-509-5657
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 N SHERIDAN RD APT 6K
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City | CHICAGO
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State | IL
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Zip | 60660-4702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. IRENE PIETRUCZYK
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Credential | OTR/L
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Telephone | 773-561-1170
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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 | 056.001237
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License Number State | IL
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