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General NPI Number Information
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NPI Number | 1265812895
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Entity Type | Organization
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Legal Business Name | OPTIMAL BEGINNINGS, LLC
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 5272 RIVER RD SUITE 300
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City | BETHESDA
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State | MD
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Zip | 20816-1405
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Country | US
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Telephone | 301-718-1716
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Fax | 301-718-1766
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Provider Business Mailing Address
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Address Line | 5272 RIVER RD SUITE 300
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City | BETHESDA
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State | MD
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Zip | 20816-1405
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Country | US
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Telephone | 301-718-1716
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Fax | 301-718-1766
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DANA VISALLI-GOLD
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Credential |
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Telephone | 301-718-1716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | MD
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