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General NPI Number Information
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NPI Number | 1689198822
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Entity Type | Individual
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Provider Name | BRITTANY DOMIN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 07/31/2017
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Provider Practice Location Address
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Address Line | 3200 GRANT ST
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City | EVANSTON
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State | IL
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Zip | 60201-1903
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Country | US
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Telephone | 734-216-4680
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Fax |
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Provider Business Mailing Address
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Address Line | 2504 N WILLETTS CT UNIT 3S
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City | CHICAGO
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State | IL
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Zip | 60647-7704
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Country | US
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Telephone | 586-883-4691
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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 | 056.012023
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License Number State | IL
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