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General NPI Number Information
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NPI Number | 1144152588
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Entity Type | Individual
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Provider Name | NANCY LODGE DOODY
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 21631 RIDGETOP CIR STE 225
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City | STERLING
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State | VA
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Zip | 20166-4289
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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 | 56 E BROAD WAY
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City | LOVETTSVILLE
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State | VA
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Zip | 20180-8607
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Country | US
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Telephone | 540-550-1597
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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 | 0119011415
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License Number State | VA
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