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General NPI Number Information
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NPI Number | 1578165932
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Entity Type | Organization
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Legal Business Name | ENABLING WELLNESS, PLLC
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 42020 VILLAGE CENTER PLAZA STE 120 PMB 1003
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City | STONE RIDGE
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State | VA
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Zip | 20105
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Country | US
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Telephone | 571-206-1616
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Fax | 571-934-4029
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Provider Business Mailing Address
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Address Line | 42020 VILLAGE CENTER PLAZA STE 120 PMB 1003
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City | STONE RIDGE
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State | VA
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Zip | 20105
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Country | US
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Telephone | 571-206-1616
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Fax | 571-934-4029
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Authorized Official
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Title or Position | OWNER
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Name | SIERRA TAYLOR WOLF
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Credential | OTD, OTR/L
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Telephone | 850-374-1731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational 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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational 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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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