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General NPI Number Information
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NPI Number | 1114301223
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Entity Type | Organization
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Legal Business Name | LITTLE HANDS PEDIATRIC THERAPY
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 42382 RISING MOON PL
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City | ASHBURN
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State | VA
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Zip | 20148
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Country | US
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Telephone | 571-207-8850
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Fax |
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Provider Business Mailing Address
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Address Line | 42382 RISING MOON PL
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City | ASHBURN
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State | VA
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Zip | 20148-5703
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Country | US
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Telephone | 571-207-8850
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | KELLI M ATANGAN
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Credential | M.S. CCC-SLP
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Telephone | 571-207-8850
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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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