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General NPI Number Information
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NPI Number | 1134064934
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Entity Type | Organization
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Legal Business Name | FIRST CONNECT PEDIATRIC THERAPY
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 400 BLEVINS RUN
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City | YORKTOWN
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State | VA
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Zip | 23693-4186
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Country | US
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Telephone | 757-329-4102
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Fax |
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Provider Business Mailing Address
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Address Line | 400 BLEVINS RUN
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City | YORKTOWN
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State | VA
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Zip | 23693-4186
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Country | US
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Telephone | 757-329-4102
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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 | CHERIE LEE ROSE
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Credential | SLP
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Telephone | 757-329-4102
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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 |
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License Number State |
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