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General NPI Number Information
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NPI Number | 1578439212
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Entity Type | Individual
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Provider Name | ZOE GRACE FRY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 14115 LOVERS LN STE 115
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City | CULPEPER
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State | VA
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Zip | 22701-4158
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Country | US
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Telephone | 540-225-1150
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Fax |
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Provider Business Mailing Address
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Address Line | 14051 CAMERON CT
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City | BOSTON
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State | VA
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Zip | 22713-4216
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Country | US
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Telephone | 540-718-6084
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 0119011182
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License Number State | VA
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