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NPI 1417082959

NPI 1417082959 : WASHINGTON COUNTY EARLY INTERVENTION : HAGERSTOWN, MD

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General NPI Number Information
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    NPI Number           |    1417082959
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    Entity Type          |    Organization 
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    Legal Business Name  |    WASHINGTON COUNTY EARLY INTERVENTION 
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Dates
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    Enumeration Date     |    02/23/2007
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    Last Update Date     |    09/10/2021
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Provider Practice Location Address
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    Address Line         |    10435 DOWNSVILLE PIKE 
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    City                 |    HAGERSTOWN
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    State                |    MD
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    Zip                  |    21740-1732
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    Country              |    US
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    Telephone            |    301-766-8222
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    Fax                  |    301-791-6716
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Provider Business Mailing Address
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    Address Line         |    10435 DOWNSVILLE PIKE 
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    City                 |    HAGERSTOWN
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    State                |    MD
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    Zip                  |    21740-1732
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    Country              |    US
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    Telephone            |    301-766-8222
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SUPERINTENDENT
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    Name                 |     BOYD  MICHAEL 
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    Credential           |    PHD
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    Telephone            |    301-766-2815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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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 |    
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