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General NPI Number Information
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NPI Number | 1952032419
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Entity Type | Individual
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Provider Name | MOLLY RYAN SCHABACKER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 801 N PERRYVILLE RD STE 2
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City | ROCKFORD
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State | IL
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Zip | 61107-6232
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Country | US
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Telephone | 815-397-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 ARNOLD AVE
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City | ROCKFORD
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State | IL
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Zip | 61108-6551
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Country | US
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Telephone | 815-997-4404
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056014275
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3630
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License Number State | IL
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