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General NPI Number Information
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NPI Number | 1528672953
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Entity Type | Organization
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Legal Business Name | JOIE DE VIE, INC.
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 5665 8TH RD N
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City | ARLINGTON
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State | VA
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Zip | 22205-1025
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Country | US
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Telephone | 703-969-2669
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Fax |
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Provider Business Mailing Address
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Address Line | 5665 8TH RD N
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City | ARLINGTON
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State | VA
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Zip | 22205-1025
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Country | US
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Telephone | 703-969-2669
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | REBECCA B MOSS
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Credential | CCC-SLP
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Telephone | 703-966-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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