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General NPI Number Information
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NPI Number | 1174948863
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Entity Type | Individual
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Provider Name | MRS. GRACE ANN AUMILLER
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Gender | Female
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 180 ADMIRAL COCHRANE DRIVE
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City | ANNAPOLIS
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State | MD
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Zip | 21403
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Country | US
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Telephone | 410-224-2988
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Fax |
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Provider Business Mailing Address
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Address Line | 125 FAWN LANE
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City | GRASONVILLE
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State | MD
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Zip | 21638
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Country | US
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Telephone | 215-692-3119
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | A02155
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License Number State | MD
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