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General NPI Number Information
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NPI Number | 1336966605
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Entity Type | Organization
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Legal Business Name | SOCIAL LEARNING LLC
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 3509 VIRGINIA BEACH BLVD # 107
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4421
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Country | US
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Telephone | 757-422-6342
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Fax |
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Provider Business Mailing Address
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Address Line | 4908 BRADPOINTE LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-1341
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Country | US
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Telephone | 757-639-6342
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST/DIRECTO
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Name | RHONDA ROBERTS OSISEK
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Credential | MS CCC-SLP
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Telephone | 757-422-6342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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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 | 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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