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General NPI Number Information
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NPI Number | 1932853330
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Entity Type | Organization
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Legal Business Name | RIVER'S BEND OCCUPATIONAL THERAPY, LLC
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Dates
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Enumeration Date | 02/05/2022
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Last Update Date | 02/05/2022
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Provider Practice Location Address
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Address Line | 102 REDBIRD DR
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City | CHESTER
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State | VA
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Zip | 23836-2656
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Country | US
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Telephone | 302-270-9154
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Fax | 877-736-7647
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Provider Business Mailing Address
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Address Line | 102 REDBIRD DR
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City | CHESTER
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State | VA
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Zip | 23836-2656
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Country | US
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Telephone | 302-270-9154
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Fax | 877-736-7647
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NICOLE J WRAY
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Credential | MOTR/L
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Telephone | 302-270-9154
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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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