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General NPI Number Information
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NPI Number | 1558560631
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL CHILDRENS CENTER, LLC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 6354 WALKER LN STE 250
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City | ALEXANDRIA
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State | VA
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Zip | 22310-3229
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Country | US
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Telephone | 703-971-0602
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Fax | 949-863-6813
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Provider Business Mailing Address
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Address Line | 6354 WALKER LN STE 250
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City | ALEXANDRIA
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State | VA
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Zip | 22310-3229
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Country | US
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Telephone | 37-971-0602
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Fax | 949-863-6813
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Authorized Official
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Title or Position | OWNER
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Name | PHILIP GREER
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Credential |
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Telephone | 571-603-5863
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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 | 2202006336
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 0119002935
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License Number State | VA
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