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General NPI Number Information
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NPI Number | 1144128869
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Entity Type | Organization
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Legal Business Name | FRUITFUL VOICES SPEECH THERAPY PLLC
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Dates
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Enumeration Date | 10/30/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 8130 MCCAULEY WAY APT 1205
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City | LORTON
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State | VA
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Zip | 22079-2995
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Country | US
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Telephone | 202-361-4047
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Fax |
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Provider Business Mailing Address
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Address Line | 8130 MCCAULEY WAY APT 1205
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City | LORTON
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State | VA
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Zip | 22079-2995
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Country | US
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Telephone | 202-361-4047
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMARI PINA
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Credential | M.A. CCC-SLP
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Telephone | 703-646-8898
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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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