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General NPI Number Information
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NPI Number | 1194215483
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Entity Type | Organization
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Legal Business Name | TAKING THE LEAD, INC.
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Dates
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Enumeration Date | 05/13/2018
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Last Update Date | 05/13/2018
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Provider Practice Location Address
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Address Line | 21000 SLAB BRIDGE RD
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City | FREELAND
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State | MD
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Zip | 21053-9773
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Country | US
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Telephone | 453-690-1176
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 783
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City | PARKTON
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State | MD
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Zip | 21120-0783
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Country | US
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Telephone | 443-690-1176
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST MANAGER
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Name | CHELSEA WHITAKER
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Credential | OTR/L
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Telephone | 443-690-1176
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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 | 07557
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License Number State | MD
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