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General NPI Number Information
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NPI Number | 1134044258
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Entity Type | Individual
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Provider Name | VERA WILLEMSE
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 6354 WALKER LN STE 250
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City | ALEXANDRIA
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State | VA
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Zip | 22310-3229
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Country | US
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Telephone | 703-971-0602
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Fax |
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Provider Business Mailing Address
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Address Line | 2455 MANDEVILLE LN APT 1036
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City | ALEXANDRIA
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State | VA
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Zip | 22314-6147
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Country | US
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Telephone | 931-505-0281
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2204001864
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License Number State | VA
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