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General NPI Number Information
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NPI Number | 1447463922
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Entity Type | Individual
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Provider Name | RHONDA-LISA STONE ALLEN OTR
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11783 ROCK LANDING DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4431
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Country | US
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Telephone | 757-668-6252
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Fax |
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Provider Business Mailing Address
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Address Line | 205 HENRY LEE LN
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City | YORKTOWN
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State | VA
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Zip | 23692-2842
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Country | US
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Telephone | 757-890-4793
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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 | 0119001490
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License Number State | VA
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