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General NPI Number Information
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NPI Number | 1518312750
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Entity Type | Individual
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Provider Name | ERIN CONLY
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Gender | Female
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 12/05/2017
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Provider Practice Location Address
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Address Line | 900 N TAYLOR ST
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City | ARLINGTON
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State | VA
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Zip | 22203-1858
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Country | US
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Telephone | 703-516-5455
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Fax |
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Provider Business Mailing Address
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Address Line | 1947 N UHLE ST #513
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City | ARLINGTON
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State | VA
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Zip | 22201-3573
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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 | 0119006778
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License Number State | VA
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