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General NPI Number Information
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NPI Number | 1992094916
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Entity Type | Organization
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Legal Business Name | PLAY AND SAY THERAPY LLC
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 6553 N AVONDALE AVE
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City | CHICAGO
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State | IL
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Zip | 60631-1521
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Country | US
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Telephone | 773-775-6651
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Fax |
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Provider Business Mailing Address
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Address Line | 6321 N AVONDALE AVE STE 108
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City | CHICAGO
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State | IL
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Zip | 60631-1952
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Country | US
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Telephone | 773-775-6651
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. JAMES B DURKIN
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Credential |
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Telephone | 773-775-6651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146.008353
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License Number State | IL
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