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General NPI Number Information
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NPI Number | 1326543422
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Entity Type | Individual
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Provider Name | STEPHANIE LOWELL GRIFFIN M.S. OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 343 ARCHER AVE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-5620
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Country | US
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Telephone | 434-255-0996
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Fax |
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Provider Business Mailing Address
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Address Line | 127 PARK DR
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City | PALMYRA
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State | VA
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Zip | 22963-3256
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Country | US
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Telephone | 410-303-8931
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119006656
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License Number State | VA
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