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General NPI Number Information
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NPI Number | 1003498445
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Entity Type | Individual
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Provider Name | MCKENNA WEEKS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 9140 BELVOIR WOODS PKWY
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City | FORT BELVOIR
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State | VA
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Zip | 22060-2703
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Country | US
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Telephone | 703-799-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 13580 SMACKS DR
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City | AMELIA COURT HOUSE
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State | VA
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Zip | 23002-2866
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Country | US
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Telephone | 804-922-2338
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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 | 0119008943
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License Number State | VA
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