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General NPI Number Information
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NPI Number | 1811584485
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Entity Type | Organization
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Legal Business Name | AVOCATION THERAPY, LLC
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1303 LAKEWOOD DR
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City | BLACKSBURG
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State | VA
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Zip | 24060-2006
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Country | US
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Telephone | 650-400-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 1303 LAKEWOOD DR
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City | BLACKSBURG
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State | VA
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Zip | 24060-2006
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Country | US
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Telephone | 650-400-8900
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Fax |
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Authorized Official
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Title or Position | OWNER AND RECREATION THERAPIST
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Name | FIONA ALLEN
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Credential | CTRS
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Telephone | 979-987-1189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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