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General NPI Number Information
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NPI Number | 1578144176
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Entity Type | Individual
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Provider Name | LAUREN LA VALLE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 8685 W GRAND RIVER AVE
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City | BRIGHTON
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State | MI
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Zip | 48116-2328
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Country | US
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Telephone | 810-225-1187
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Fax |
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Provider Business Mailing Address
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Address Line | 2122 YORK RD STE 300
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City | OAK BROOK
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State | IL
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Zip | 60523-1925
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Country | US
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Telephone | 630-585-1980
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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 | 21678
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License Number State | FL
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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 | 5201013810
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License Number State | MI
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