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General NPI Number Information
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NPI Number | 1942916788
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Entity Type | Individual
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Provider Name | ALEE JOHNSON HALSEY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 9325 MIDLOTHIAN TPKE STE AC&D
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-4943
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Country | US
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Telephone | 757-490-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 522 N SHEPPARD ST
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City | RICHMOND
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State | VA
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Zip | 23221-2414
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Country | US
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Telephone | 704-754-0820
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Fax |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 0119009782
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License Number State | VA
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