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General NPI Number Information
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NPI Number | 1508168659
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Entity Type | Individual
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Provider Name | GILA KOHAN MASLIEH COTA/L
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Gender | Female
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 4730 ATRIUM CT
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3556
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Country | US
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Telephone | 410-363-4790
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Fax |
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Provider Business Mailing Address
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Address Line | 3108 MARNAT RD
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City | BALTIMORE
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State | MD
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Zip | 21208-4503
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Country | US
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Telephone | 410-415-5339
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | A01795
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License Number State | MD
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