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General NPI Number Information
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NPI Number | 1326927096
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Entity Type | Individual
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Provider Name | ALYSSA MADISON COX OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 2721 PROSPERITY AVE STE 100
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City | FAIRFAX
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State | VA
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Zip | 22031-4341
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Country | US
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Telephone | 703-889-8829
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Fax |
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Provider Business Mailing Address
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Address Line | 866 DORIAN RD
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City | WESTFIELD
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State | NJ
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Zip | 07090-4459
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Country | US
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Telephone | 908-967-3361
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 0119011084
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License Number State | VA
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