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NPI 1023423746

NPI 1023423746 : JOHN ADKINS OTR/L : ALEXANDRIA, VA

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General NPI Number Information
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    NPI Number           |    1023423746
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN ADKINS OTR/L
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/23/2014
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    Last Update Date     |    09/23/2016
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Provider Practice Location Address
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    Address Line         |    4835 W BRADDOCK RD APT 3 
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    City                 |    ALEXANDRIA
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    State                |    VA
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    Zip                  |    22311-4828
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    Country              |    US
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    Telephone            |    304-417-1221
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4835 W BRADDOCK RD APT 3 
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    City                 |    ALEXANDRIA
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    State                |    VA
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    Zip                  |    22311-4828
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    Country              |    US
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    Telephone            |    304-417-1221
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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       |    
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    License Number State |    
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