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General NPI Number Information
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NPI Number | 1184647406
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Entity Type | Individual
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Provider Name | DAVID WILLIAM OTTO MME, MT-BC
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 810 VERMONT AVE NW RM 667
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City | WASHINGTON
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State | DC
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Zip | 20420-1524
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Country | US
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Telephone | 202-461-4547
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Fax | 202-461-5473
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Provider Business Mailing Address
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Address Line | 1139 BOHEMIA MILL RD
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City | MIDDLETOWN
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State | DE
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Zip | 19709-9755
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Country | US
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Telephone | 302-464-2538
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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