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General NPI Number Information
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NPI Number | 1144380619
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Entity Type | Organization
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Legal Business Name | ORTHOVIRGINIA, INC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 7650 E PARHAM RD SUITE 100
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City | RICHMOND
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State | VA
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Zip | 23294-4373
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Country | US
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Telephone | 804-282-6338
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Fax | 804-285-3237
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Provider Business Mailing Address
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Address Line | PO BOX 715868
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City | PHILADELPHIA
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State | PA
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Zip | 19171-5868
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Country | US
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Telephone | 804-915-1910
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Fax | 804-560-9029
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JUSTIN FERRELL
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Credential |
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Telephone | 757-297-1688
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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