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General NPI Number Information
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NPI Number | 1982224531
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Entity Type | Individual
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Provider Name | KATHERINE T HEIDORN-REED OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 155 E BRUSH HILL RD
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City | ELMHURST
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State | IL
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Zip | 60126-5658
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Country | US
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Telephone | 847-962-0086
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Fax |
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Provider Business Mailing Address
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Address Line | 2514 ERIE ST APT 1
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City | RIVER GROVE
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State | IL
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Zip | 60171-3503
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Country | US
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Telephone | 847-962-0086
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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 |
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License Number State |
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