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General NPI Number Information
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NPI Number | 1093668998
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Entity Type | Organization
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Legal Business Name | VALLEY THERAPY LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 5473 YOUNGTON RD
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City | VICKSBURG
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State | MS
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Zip | 39183-7924
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Country | US
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Telephone | 601-415-5761
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Fax |
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Provider Business Mailing Address
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Address Line | 5473 YOUNGTON RD
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City | VICKSBURG
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State | MS
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Zip | 39183-7924
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Country | US
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Telephone | 601-415-5761
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | BETTY CHILES
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Credential | RHIT
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Telephone | 601-618-5120
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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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