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General NPI Number Information
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NPI Number | 1679824866
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Entity Type | Organization
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Legal Business Name | VIRGIN ISLANDS OCCUPATIONAL THERAPY LLC
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 08/03/2013
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Provider Practice Location Address
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Address Line | 9149 SUGAR ESTATE STE. 209A
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City | ST THOMAS
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State | VI
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Zip | 00802-2213
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Country | US
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Telephone | 340-228-2068
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Fax |
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Provider Business Mailing Address
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Address Line | 9149 SUGAR ESTATE STE. 209A
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City | ST THOMAS
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State | VI
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Zip | 00802-2213
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Country | US
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Telephone | 340-228-2068
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TINA BLUE
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Credential |
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Telephone | 340-626-2960
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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 |
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