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General NPI Number Information
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NPI Number | 1447604087
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Entity Type | Organization
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Legal Business Name | NEUROLOFT LLC
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 8321 OLD COURTHOUSE RD SUITE 130
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City | VIENNA
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State | VA
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Zip | 22182-3817
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Country | US
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Telephone | 703-462-9570
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Fax | 703-890-1498
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Provider Business Mailing Address
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Address Line | 8321 OLD COURTHOUSE RD SUITE 130
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City | VIENNA
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State | VA
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Zip | 22182-3817
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Country | US
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Telephone | 703-462-9570
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Fax | 703-890-1498
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MAUREEN M LOFTUS
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Credential |
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Telephone | 703-462-9570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 0810003327
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License Number State | VA
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