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NPI 1962829440

NPI 1962829440 : SARAH LINDER OTR/L : ELMWOOD PARK, IL

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General NPI Number Information
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    NPI Number           |    1962829440
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH LINDER OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/24/2014
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    Last Update Date     |    03/24/2014
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Provider Practice Location Address
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    Address Line         |    7733 W GRAND AVE 
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    City                 |    ELMWOOD PARK
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    State                |    IL
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    Zip                  |    60707-1820
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    Country              |    US
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    Telephone            |    708-452-9200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2513 N ASHLAND AVE UNIT D
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60614-2027
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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    |    
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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       |    056.010394
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    License Number State |    IL
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