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General NPI Number Information
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NPI Number | 1508571282
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Entity Type | Organization
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Legal Business Name | I ADAPT OT, LLC
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 6055 CEDAR WOOD DR
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City | COLUMBIA
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State | MD
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Zip | 21044-3674
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Country | US
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Telephone | 410-650-6885
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Fax | 410-650-6886
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Provider Business Mailing Address
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Address Line | 6055 CEDAR WOOD DR
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City | COLUMBIA
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State | MD
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Zip | 21044-3674
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Country | US
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Telephone | 410-650-6885
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Fax | 410-650-6886
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Authorized Official
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Title or Position | OWNER, OCCUPATIONAL THERAPIST
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Name | MRS. MARIE ELIZABETH LOUGHLIN DIXON
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Credential | OT
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Telephone | 410-650-6885
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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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