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General NPI Number Information
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NPI Number | 1376499186
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Entity Type | Organization
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Legal Business Name | THREAD, LLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 15933 CANADA GOOSE LOOP
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City | WOODBRIDGE
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State | VA
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Zip | 22191-5562
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Country | US
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Telephone | 302-260-2257
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Fax |
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Provider Business Mailing Address
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Address Line | 14497 POTOMAC MILLS RD # 1258
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City | WOODBRIDGE
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State | VA
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Zip | 22192-6807
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Country | US
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Telephone | 302-260-2257
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/ SLP
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Name | TERESA JACKSON
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Credential | CCC-SLP
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Telephone | 302-260-2257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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