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General NPI Number Information
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NPI Number | 1730358367
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Entity Type | Individual
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Provider Name | ELIZABETH AISLYNNE CHRISTENSEN MA/CCC-SLP/L, ATP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 3731 BLANCHAN AVE
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City | BROOKFIELD
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State | IL
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Zip | 60513-1503
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Country | US
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Telephone | 708-408-9819
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Fax | 708-854-0035
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Provider Business Mailing Address
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Address Line | 3731 BLANCHAN AVE
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City | BROOKFIELD
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State | IL
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Zip | 60513-1503
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Country | US
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Telephone | 708-408-9819
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Fax | 708-854-0035
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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 | 146-004732
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License Number State | IL
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