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General NPI Number Information
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NPI Number | 1477458941
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Entity Type | Individual
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Provider Name | THERESA CANE
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Gender | Female
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Dates
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Enumeration Date | 10/13/2026
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Last Update Date | 10/13/2026
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Provider Practice Location Address
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Address Line | 10605 CONCORD ST STE 206
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City | KENSINGTON
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State | MD
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Zip | 20895-2526
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Country | US
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Telephone | 301-861-2248
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 TUCKER LN
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City | ASHTON
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State | MD
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Zip | 20861-9769
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Country | US
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Telephone |
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | ATG431
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License Number State | MD
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