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General NPI Number Information
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NPI Number | 1144114869
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Entity Type | Individual
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Provider Name | ELIZABETH CARTER TRAVER OTD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 724 THIMBLE SHOALS BLVD # C
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-2574
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Country | US
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Telephone | 757-455-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 IRONSIDE DR APT 322
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City | SUFFOLK
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State | VA
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Zip | 23435-3886
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119011124
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License Number State | VA
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