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General NPI Number Information
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NPI Number | 1043501059
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Entity Type | Organization
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Legal Business Name | THERAPY CHOICE
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 1157 FIRST COLONIAL RD SUITE 301
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-2432
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Country | US
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Telephone | 757-422-6342
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Fax | 757-422-6343
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Provider Business Mailing Address
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Address Line | 1157 FIRST COLONIAL RD SUITE 301
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-2432
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Country | US
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Telephone | 757-422-6342
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Fax | 757-422-6343
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. HEATHER LYN DANIELS
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Credential | COTA/L
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Telephone | 757-422-6342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0131000546
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License Number State | VA
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