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CHOSEN ONE THERAPIES INC NPI 1730494329


NPI Information

NPI: 1730494329
Provider Name: CHOSEN ONE THERAPIES, INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
10851 TIDEWATER TRIAL
#103
FREDERICKSBURG, VA
ZIP 22408
Phone: (571) 330-8120
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CHOSEN ONE THERAPIES, INC is a specialist in Fredericksburg, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHOSEN ONE THERAPIES, INC NPI is 1730494329. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10851 TIDEWATER TRIAL
#103
FREDERICKSBURG, VA
ZIP 22408-260
Phone: (571) 330-8120
Fax: (877) 771-3419

The provider's authorized official is Deniece M Payne .
The authorized official title is Clinical Director and has the following contact phone number (571) 330-8120.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 11/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2171R00000XInterpreterNo
32355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
4235Z00000XSpeech-Language PathologistNo
5174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11730494329MEDICAIDVIRGINIA
21073788931MEDICAIDVIRGINIA
3C10948OTHERVIRGINIAGROUP PROVIDER (PTAN)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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