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General NPI Number Information
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NPI Number | 1255210225
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Entity Type | Organization
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Legal Business Name | RACHEL MOON SPEECH THERAPY, LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 901 N WASHINGTON ST STE 320
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5506
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Country | US
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Telephone | 703-261-4099
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Fax | 703-677-8130
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Provider Business Mailing Address
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Address Line | 901 N WASHINGTON ST STE 320
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5506
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Country | US
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Telephone | 703-261-4099
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Fax | 703-677-8130
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL MOON
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Credential |
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Telephone | 703-261-4099
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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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