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General NPI Number Information
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NPI Number | 1104776699
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Entity Type | Individual
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Provider Name | THERESA MARIE BRAY-SHRESTHA
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 505 WINDY KNOLL DR UNIT 323
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City | MOUNT AIRY
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State | MD
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Zip | 21771-6614
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Country | US
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Telephone | 240-668-4415
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Fax |
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Provider Business Mailing Address
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Address Line | 9602 BROOKBEND RD
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City | BALTIMORE
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State | MD
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Zip | 21236-1046
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Country | US
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Telephone | 443-963-4213
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MD
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