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General NPI Number Information
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NPI Number | 1609049477
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Entity Type | Organization
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Legal Business Name | TOTS TO TEENS THERAPY SERVICES, INC
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 12581 MILSTEAD WAY SUITE 302
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City | WOODBRIDGE
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State | VA
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Zip | 22192
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Country | US
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Telephone | 703-239-7336
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Fax | 719-375-3116
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Provider Business Mailing Address
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Address Line | 12263 CHARLES LACEY DR.
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City | MANASSAS
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State | VA
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Zip | 20112
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Country | US
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Telephone | 703-507-1533
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Fax | 719-375-3116
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. JENNIFER DUNCAN RUCKNER
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Credential | MS CCC-SLP
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Telephone | 703-507-1533
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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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Taxonomy #2
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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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