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General NPI Number Information
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NPI Number | 1992255913
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Entity Type | Individual
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Provider Name | MOLLY ANSEL HOISINGTON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 605 ACADEMY DR
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City | NORTHBROOK
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State | IL
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Zip | 60062-2420
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Country | US
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Telephone | 847-480-8890
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 PRAIRIE AVE #3G
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City | EVANSTON
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State | IL
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Zip | 60201-2270
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Country | US
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Telephone | 773-272-5345
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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 | 056.011653
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License Number State | IL
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