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General NPI Number Information
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NPI Number | 1386371276
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Entity Type | Individual
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Provider Name | LORI WILLIAMS CRITSER
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Gender | Female
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 249 S NEWTOWN RD
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City | NORFOLK
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State | VA
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Zip | 23502-5718
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Country | US
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Telephone | 757-427-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 BERNADOTTE ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-6519
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Country | US
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Telephone | 757-761-2194
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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 | 0119000551
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License Number State | VA
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