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General NPI Number Information
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NPI Number | 1477467751
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Entity Type | Organization
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Legal Business Name | THE FIREFLY COLLECTIVE, PLLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 220 BLAKEY AVE
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City | STANARDSVILLE
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State | VA
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Zip | 22973-2460
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Country | US
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Telephone | 202-880-2798
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Fax |
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Provider Business Mailing Address
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Address Line | 220 BLAKEY AVE
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City | STANARDSVILLE
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State | VA
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Zip | 22973-2460
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Country | US
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Telephone | 202-880-2798
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNIFER ANN LLOYD-WHITE
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Credential | BCBA
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Telephone | 202-880-2798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NULL
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