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General NPI Number Information
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NPI Number | 1396161998
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Entity Type | Individual
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Provider Name | HEATHER DOREEN STONE COTA/L
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Gender | Female
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 655 DENBIGH BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4478
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Country | US
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Telephone | 757-890-0905
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Fax |
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Provider Business Mailing Address
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Address Line | 804 UNION FORGE LN
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City | CHESAPEAKE
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State | VA
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Zip | 23322-6313
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Country | US
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Telephone | 908-319-8768
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 013001191
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License Number State | VA
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