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General NPI Number Information
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NPI Number | 1407260656
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Entity Type | Individual
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Provider Name | GRACE MARIA VALVERDE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 2239 TACKETTS MILL DR STE K
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City | WOODBRIDGE
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State | VA
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Zip | 22192-3026
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Country | US
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Telephone | 703-491-1044
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Fax |
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Provider Business Mailing Address
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Address Line | 24 TOWERING OAKS DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-8732
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Country | US
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Telephone | 973-566-4738
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 0119006141
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License Number State | VA
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