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General NPI Number Information
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NPI Number | 1609904341
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Entity Type | Organization
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Legal Business Name | THERAPY 4 KIDS, LLC
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 10/13/2007
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Provider Practice Location Address
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Address Line | 9685 MAIN ST STE B
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City | FAIRFAX
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State | VA
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Zip | 22031-3752
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Country | US
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Telephone | 703-978-8400
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Fax | 703-978-9898
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Provider Business Mailing Address
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Address Line | 9685 MAIN ST STE B
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City | FAIRFAX
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State | VA
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Zip | 22031-3752
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Country | US
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Telephone | 703-978-8400
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Fax | 703-978-9898
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. LORNA SHER
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Credential | OT
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Telephone | 703-978-8400
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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 | 0119002945
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202003923
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2305202398
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License Number State | VA
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