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General NPI Number Information
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NPI Number | 1447819917
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Entity Type | Individual
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Provider Name | LEAH SALLADA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 7116 FORT HUNT RD
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City | ALEXANDRIA
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State | VA
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Zip | 22307-1900
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Country | US
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Telephone | 703-768-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 N GLEBE RD UNIT 1304
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City | ARLINGTON
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State | VA
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Zip | 22207-2232
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119-008074
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License Number State | VA
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