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NPI 1043510225

NPI 1043510225 : LAURA MCCARTHY, OTR, CHT, PA : COLUMBIA, MD

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General NPI Number Information
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    NPI Number           |    1043510225
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAURA MCCARTHY, OTR, CHT, PA 
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Dates
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    Enumeration Date     |    10/22/2010
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    Last Update Date     |    03/25/2022
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Provider Practice Location Address
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    Address Line         |    6726 CARLINDA AVE 
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    City                 |    COLUMBIA
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    State                |    MD
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    Zip                  |    21046-1107
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    Country              |    US
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    Telephone            |    410-997-0037
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    Fax                  |    410-997-3510
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Provider Business Mailing Address
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    Address Line         |    6726 CARLINDA AVE 
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    City                 |    COLUMBIA
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    State                |    MD
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    Zip                  |    21046-1107
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    Country              |    US
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    Telephone            |    410-997-0037
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    Fax                  |    410-997-3510
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    MRS. LAURA JEAN MCCARTHY 
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    Credential           |    OTR, CHT
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    Telephone            |    410-997-0037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225XH1200X
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    Taxonomy Name        |    Hand Occupational Therapist
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    License Number       |    01708
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    License Number State |    MD
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