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General NPI Number Information
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NPI Number | 1083003297
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Entity Type | Individual
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Provider Name | ALETHIA BASSETT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 700 CONSTITUTION AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20002-6058
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Country | US
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Telephone | 202-683-2838
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Fax | 202-318-8036
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Provider Business Mailing Address
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Address Line | 12401 BRICKYARD BLVD APT 2067
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City | BELTSVILLE
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State | MD
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Zip | 20705-1328
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Country | US
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Telephone | 757-561-4418
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | OT010000980
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 07620
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License Number State | MD
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