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General NPI Number Information
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NPI Number | 1093758252
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Entity Type | Individual
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Provider Name | OREN SCOTT GANZ OTR
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6900 GEORGIA AVE NW BUILDING 2, RM 3J04
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City | WASHINGTON
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State | DC
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Zip | 20307-0003
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Country | US
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Telephone | 202-782-6374
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Fax | 202-782-4639
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Provider Business Mailing Address
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Address Line | 5425 CONNECTICUT AVE NW APARTMENT #108
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City | WASHINGTON
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State | DC
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Zip | 20015-2766
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Country | US
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Telephone | 202-364-2344
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 04478
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License Number State | MD
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