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General NPI Number Information
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NPI Number | 1770292013
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Entity Type | Individual
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Provider Name | ASHLEY ABRAHAM OTR/L, CLT-UE
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Gender | Female
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 12200 WARWICK BLVD STE 170
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-2344
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Country | US
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Telephone | 757-534-6127
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Fax | 757-534-6151
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Provider Business Mailing Address
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Address Line | 12200 WARWICK BLVD STE 170
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-2344
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Country | US
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Telephone | 757-534-6127
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Fax | 757-534-6151
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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 | 0119007236
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License Number State | VA
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