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General NPI Number Information
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NPI Number | 1568685345
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Entity Type | Individual
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Provider Name | LAURA ROBIN LEVY M.S.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2000 N RACINE AVE SUITE 2090
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City | CHICAGO
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State | IL
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Zip | 60614-4045
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Country | US
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Telephone | 773-871-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W ALDINE AVE SUITE 2
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City | CHICAGO
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State | IL
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Zip | 60657-7919
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Country | US
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Telephone | 312-504-1780
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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 | 1460002265
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License Number State | IL
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