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General NPI Number Information
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NPI Number | 1760969786
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Entity Type | Organization
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Legal Business Name | TWO GIRLS WILL TRAVEL LLC
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 820 APPERSON DR
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City | SALEM
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State | VA
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Zip | 24153-7019
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Country | US
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Telephone | 540-589-3966
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Fax |
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Provider Business Mailing Address
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Address Line | 820 APPERSON DR
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City | SALEM
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State | VA
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Zip | 24153-7019
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Country | US
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Telephone | 540-589-3966
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MEREDITH WEBSTER
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Credential |
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Telephone | 540-589-3966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | VA
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