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General NPI Number Information
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NPI Number | 1033303870
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Entity Type | Organization
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Legal Business Name | LAILA BROWN INC.
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 4600 MAIN ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2841
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Country | US
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Telephone | 260-710-2013
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Fax | 630-541-5318
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Provider Business Mailing Address
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Address Line | 4600 MAIN ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2841
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Country | US
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Telephone | 260-710-2013
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Fax | 630-541-5318
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAILA BROWN
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Credential | M.SC.(A)
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Telephone | 260-710-2013
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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 |
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License Number State | IL
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