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General NPI Number Information
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NPI Number | 1326709783
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE O'NEILL BT
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Gender | Female
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 6504 MOUNTAINDALE RD
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City | THURMONT
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State | MD
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Zip | 21788-2719
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Country | US
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Telephone | 443-243-7647
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Fax |
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Provider Business Mailing Address
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Address Line | 7537 UNIVERSITY RD
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City | BOONSBORO
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State | MD
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Zip | 21713-2529
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Country | US
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Telephone | 302-465-8467
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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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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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