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General NPI Number Information
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NPI Number | 1497858567
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Entity Type | Individual
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Provider Name | HEATHER LAING OT
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 5377 STEWART DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-7837
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Country | US
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Telephone | 518-469-8119
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Fax |
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Provider Business Mailing Address
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Address Line | 5377 STEWART DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-7837
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Country | US
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Telephone | 518-469-8119
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 010799-1
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License Number State | NY
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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 | 0119005390
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License Number State | VA
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