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General NPI Number Information
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NPI Number | 1427872902
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Entity Type | Organization
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Legal Business Name | LITTLE LEAPS OT
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1109 SINGER DR
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City | WESTMINSTER
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State | MD
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Zip | 21157-5841
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Country | US
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Telephone | 410-984-5016
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 SINGER DR
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City | WESTMINSTER
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State | MD
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Zip | 21157-5841
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Country | US
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Telephone | 410-984-5016
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MELINDA IPPOLITO
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Credential | OTR/L
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Telephone | 410-984-5016
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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 |
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License Number State |
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