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General NPI Number Information
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NPI Number | 1346883170
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Entity Type | Organization
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Legal Business Name | VISION OF THERAPEUTIC DEVELOPMENT, INC.
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 35 SOUTHERN VILLAGE DR
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City | ROXBORO
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State | NC
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Zip | 27573-2516
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Country | US
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Telephone | 336-437-4167
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1223
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City | MEBANE
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State | NC
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Zip | 27302-1223
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NORMA BURTON
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Credential |
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Telephone | 336-437-4167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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