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General NPI Number Information
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NPI Number | 1629465398
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Entity Type | Organization
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Legal Business Name | PARAMOUNT THERAPY
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 3021 NICOSH CIR UNIT 1308
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1232
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Country | US
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Telephone | 703-622-8226
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Fax |
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Provider Business Mailing Address
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Address Line | 3021 NICOSH CIR UNIT 1308
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1232
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/SPEECH PATHOLOGIST
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Name | MRS. YUE-LING SIU DU
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Credential | M.A., CCC-SLP
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Telephone | 610-850-5012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 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 | 2202005303
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License Number State | VA
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