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NPI 1205356151

NPI 1205356151 : BONDS THERAPY SERVICES LLC : MIDDLEBURG, VA

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General NPI Number Information
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    NPI Number           |    1205356151
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    Entity Type          |    Organization 
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    Legal Business Name  |    BONDS THERAPY SERVICES LLC 
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Dates
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    Enumeration Date     |    06/21/2017
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    Last Update Date     |    08/10/2017
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Provider Practice Location Address
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    Address Line         |    37625 JOHN MOSBY HWY 
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    City                 |    MIDDLEBURG
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    State                |    VA
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    Zip                  |    20117-2829
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    Country              |    US
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    Telephone            |    800-688-8609
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    Fax                  |    800-688-8609
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Provider Business Mailing Address
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    Address Line         |    904 BLUE RIDGE AVE 
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    City                 |    MIDDLEBURG
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    State                |    VA
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    Zip                  |    20117-2829
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    Country              |    US
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    Telephone            |    800-688-8069
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    Fax                  |    800-688-8069
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. JAVA  BONDS 
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    Credential           |    
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    Telephone            |    800-688-8069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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 #4
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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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Taxonomy #5
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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