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General NPI Number Information
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NPI Number | 1740332170
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Entity Type | Individual
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Provider Name | ERIN LAWLEY M.A.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 5758 S MARYLAND AVE # MC9020
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City | CHICAGO
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State | IL
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Zip | 60637-1426
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Country | US
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Telephone | 773-702-0813
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Fax |
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Provider Business Mailing Address
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Address Line | 5758 S MARYLAND AVE # MC9020
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City | CHICAGO
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State | IL
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Zip | 60637-1426
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Country | US
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Telephone | 773-702-0813
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 147001009
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License Number State | IL
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