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General NPI Number Information
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NPI Number | 1326993304
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Entity Type | Individual
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Provider Name | SOPHIA ELYSE LALLY
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Gender | Female
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 3360 GATEWAY RD STE 200
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City | BROOKFIELD
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State | WI
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Zip | 53045-5115
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Country | US
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Telephone | 262-923-7101
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Fax |
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Provider Business Mailing Address
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Address Line | 7670 RED BANK RD
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City | SURING
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State | WI
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Zip | 54174-9520
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State | WI
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