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General NPI Number Information
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NPI Number | 1508388612
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Entity Type | Organization
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Legal Business Name | LOPEZ & ASSOCIATES THERAPY GROUP, PC
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 1602 BELLE VIEW BLVD. SUITE 735
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City | ALEXANDRIA
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State | VA
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Zip | 22307
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Country | US
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Telephone | 703-395-5157
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Fax | 703-997-7261
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Provider Business Mailing Address
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Address Line | 1602 BELLE VIEW BLVD. SUITE 735
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City | ALEXANDRIA
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State | VA
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Zip | 22307
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Country | US
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Telephone | 703-395-5157
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Fax | 703-997-7261
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Authorized Official
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Title or Position | AGENCY OWNER
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Name | MS. EMILY MILAGRO COBETT
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Credential | CCC-SLP
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Telephone | 703-395-5157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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