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General NPI Number Information
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NPI Number | 1750094918
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Entity Type | Organization
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Legal Business Name | FUNCTION FIRST THERAPY SERVICES LLC
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 92 MAIN ST STE 202-9
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City | WARRENTON
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State | VA
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Zip | 20186-3370
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Country | US
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Telephone | 540-878-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 7823 TRAFALGAR PL
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City | WARRENTON
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State | VA
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Zip | 20186-9717
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Country | US
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Telephone | 540-878-9060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE ROSS
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Credential | OTD, OTR/L
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Telephone | 540-878-9060
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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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