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General NPI Number Information
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NPI Number | 1386507465
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Entity Type | Individual
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Provider Name | LONYE ALLEN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2232 N CLYBOURN AVE 3RD LEVEL
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City | CHICAGO
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State | IL
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Zip | 60614-3193
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Country | US
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Telephone | 773-923-3509
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Fax |
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Provider Business Mailing Address
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Address Line | 4324 S CALUMET AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60653-6301
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31008930A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.016928
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License Number State | IL
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