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General NPI Number Information
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NPI Number | 1558605386
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Entity Type | Organization
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Legal Business Name | PARAMOUNT THERAPY RESOURCES
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 2206 GREEN GINGER CIR
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City | ACCOKEEK
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State | MD
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Zip | 20607-3726
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Country | US
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Telephone | 301-452-4051
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 GREEN GINGER CIR
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City | ACCOKEEK
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State | MD
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Zip | 20607-3726
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Country | US
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Telephone | 301-452-4051
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. TERESA WHIGHAM
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Credential | MS, OTR/L
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Telephone | 301-452-4051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 05636
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License Number State | MD
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