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General NPI Number Information
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NPI Number | 1477908267
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Entity Type | Individual
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Provider Name | CHIDIEBERE SHEILA OKORONKWO MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 8839 KELSO DR STE A-B
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City | ESSEX
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State | MD
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Zip | 21221-3141
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Country | US
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Telephone | 410-574-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 23 BLUE HERON CT
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-7519
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Country | US
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Telephone | 410-903-4320
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 07881
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License Number State | MD
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