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General NPI Number Information
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NPI Number | 1710587829
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Entity Type | Individual
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Provider Name | ERIN WEISENBERGER
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 08/22/2021
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Provider Practice Location Address
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Address Line | 9298 LEWIS CHAPEL RD
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City | LORTON
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State | VA
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Zip | 22079-1960
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Country | US
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Telephone | 757-403-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 7206 LAVENDER LN
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City | SPRINGFIELD
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State | VA
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Zip | 22150-3143
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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 |
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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 | 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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