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General NPI Number Information
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NPI Number | 1205437167
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Entity Type | Organization
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Legal Business Name | ASOUFY THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 916 SAINT ANDREWS REACH APT A
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City | CHESAPEAKE
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State | VA
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Zip | 23320-8587
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Country | US
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Telephone | 734-239-5791
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Fax |
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Provider Business Mailing Address
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Address Line | 916 SAINT ANDREWS REACH APT A
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City | CHESAPEAKE
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State | VA
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Zip | 23320-8587
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Country | US
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Telephone | 734-239-5791
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | MRS. WIDAD ASOUFY
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Credential | OTRL
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Telephone | 734-239-5791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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