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General NPI Number Information
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NPI Number | 1174509830
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Entity Type | Individual
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Provider Name | JULIE A BRODY OT
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 14348 GIDEON DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4640
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Country | US
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Telephone | 703-490-1112
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Fax | 703-878-8732
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Provider Business Mailing Address
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Address Line | 14348 GIDEON DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4640
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Country | US
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Telephone | 703-490-1112
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Fax | 703-878-8732
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 0119001308
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License Number State | VA
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