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General NPI Number Information
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NPI Number | 1053803999
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Entity Type | Individual
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Provider Name | LORENA M ORIZABA
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Gender | Female
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 355 E CHICAGO ST
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City | ELGIN
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State | IL
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Zip | 60120-6543
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Country | US
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Telephone | 847-888-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 695 PHEASANT TRL
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City | SAINT CHARLES
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State | IL
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Zip | 60174-8834
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146.015065
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License Number State | IL
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