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General NPI Number Information
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NPI Number | 1336068808
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Entity Type | Individual
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Provider Name | TASHIRAH SADE SKINNER
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Gender | Female
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 9505 REISTERSTOWN RD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4451
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Country | US
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Telephone | 888-301-4065
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Fax |
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Provider Business Mailing Address
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Address Line | 226 S. CAROLINE ST APT 203
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City | BALTIMORE
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State | MD
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Zip | 21231
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Country | US
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Telephone | 667-464-5763
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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 | MD10276771396
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License Number State | MD
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