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General NPI Number Information
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NPI Number | 1417475898
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Entity Type | Organization
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Legal Business Name | ACME THERAPIES CO
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 09/21/2017
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Provider Practice Location Address
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Address Line | 101 CLEVELAND AVE STE D
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City | MARTINSVILLE
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State | VA
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Zip | 24112-3700
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Country | US
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Telephone | 276-806-0662
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Fax | 276-650-4096
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Provider Business Mailing Address
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Address Line | 1235 SAM LIONS TRL
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City | MARTINSVILLE
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State | VA
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Zip | 24112-5336
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Country | US
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Telephone | 276-806-0662
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Fax | 276-650-4096
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. STACI SOPER
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Credential | SLP
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Telephone | 276-806-0662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202004244
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License Number State | VA
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