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General NPI Number Information
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NPI Number | 1851836316
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Entity Type | Organization
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Legal Business Name | DRIVER REHABILITATION CENTER OF EXCELLENCE, LLC
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 14101 PARKE LONG CT SUITE E
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City | CHANTILLY
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State | VA
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Zip | 20151-1645
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Country | US
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Telephone | 703-345-2990
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Fax |
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Provider Business Mailing Address
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Address Line | 14101 PARKE LONG CT SUITE E
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City | CHANTILLY
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State | VA
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Zip | 20151-1645
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Country | US
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Telephone | 703-345-2990
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAMMY PHIPPS
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Credential | OTR/L, CDRS
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Telephone | 703-345-2990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119006366
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License Number State | VA
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