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General NPI Number Information
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NPI Number | 1013410307
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Entity Type | Organization
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Legal Business Name | LITTLE KESWICK SCHOOL, LLC
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 500 LITTLE KESWICK LN
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City | KESWICK
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State | VA
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Zip | 22947-2406
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Country | US
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Telephone | 434-295-0457
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24
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City | KESWICK
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State | VA
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Zip | 22947-0024
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Country | US
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Telephone | 434-295-0457
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER/COMPTROLLER
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Name | MELISSA NORDER
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Credential |
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Telephone | 434-295-0457
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | VA
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