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General NPI Number Information
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NPI Number | 1447031463
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Entity Type | Individual
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Provider Name | IDOWU AKINWUNTAN
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Gender | Female
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Dates
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Enumeration Date | 10/06/2023
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 715 INGLESIDE AVE
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City | CATONSVILLE
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State | MD
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Zip | 21228-1726
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Country | US
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Telephone | 443-800-3188
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Fax |
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Provider Business Mailing Address
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Address Line | 715 INGLESIDE AVE
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City | CATONSVILLE
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State | MD
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Zip | 21228-1726
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Country | US
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Telephone | 443-800-3188
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 225XH1300X
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Taxonomy Name | Human Factors Occupational Therapist
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 224ZR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapy Assistant
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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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 | 225XM0800X
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Taxonomy Name | Mental Health 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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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