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General NPI Number Information
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NPI Number | 1659039139
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Entity Type | Individual
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Provider Name | KENNEDY COATES
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Gender | Female
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Dates
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Enumeration Date | 12/02/2021
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 7565 COURTHOUSE RD
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City | SPOTSYLVANIA
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State | VA
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Zip | 22551-2706
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Country | US
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Telephone | 540-582-7583
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Fax |
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Provider Business Mailing Address
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Address Line | 196 KENT DR
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City | RUTHER GLEN
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State | VA
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Zip | 22546-1117
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Country | US
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Telephone | 202-527-0061
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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 | 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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