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General NPI Number Information
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NPI Number | 1891018917
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Entity Type | Organization
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Legal Business Name | JAMES MADISON UNIVERSITY
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 131 W GRACE ST
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City | HARRISONBURG
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State | VA
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Zip | 22807-0001
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Country | US
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Telephone | 540-568-7749
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Fax | 540-568-6409
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Provider Business Mailing Address
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Address Line | JMU MSC 9022 755 MLK JR. WAY
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City | HARRISONBURG
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State | VA
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Zip | 22801-0001
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Country | US
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Telephone | 540-568-7749
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Fax | 540-568-6409
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JULIE BONHAM
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Credential | OTR/L
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Telephone | 540-568-4980
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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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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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