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General NPI Number Information
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NPI Number | 1699333872
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Entity Type | Individual
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Provider Name | BRIANNE LINDAL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 1268 DOGWOOD LN
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City | CAROL STREAM
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State | IL
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Zip | 60188-3320
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Country | US
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Telephone | 630-484-4062
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Fax |
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Provider Business Mailing Address
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Address Line | 325 STRATFORD PL
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2667
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 056.012426
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License Number State | IL
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