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General NPI Number Information
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NPI Number | 1487772158
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Entity Type | Individual
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Provider Name | LORI ANN BRAVI M.S., OTR, BCPR, CLT
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 645 N MICHIGAN AVE STE 543
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City | CHICAGO
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State | IL
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Zip | 60611-2881
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Country | US
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Telephone | 773-407-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 5208 N WINTHROP AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60640-2358
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Country | US
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Telephone | 773-407-2050
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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 | 056.006568
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License Number State | IL
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