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General NPI Number Information
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NPI Number | 1699571802
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Entity Type | Individual
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Provider Name | NORA BROWN OT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 963 N 129TH INFANTRY DR
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City | JOLIET
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State | IL
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Zip | 60435-3104
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Country | US
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Telephone | 877-632-6637
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Fax | 708-409-5179
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Provider Business Mailing Address
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Address Line | 963 N 129TH INFANTRY DR
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City | JOLIET
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State | IL
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Zip | 60435-3104
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Country | US
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Telephone | 877-632-6637
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Fax | 708-409-5179
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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 | 31008683A
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License Number State | IN
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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 | 056016523
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License Number State | IL
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