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General NPI Number Information
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NPI Number | 1568034338
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Entity Type | Individual
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Provider Name | OLIVIA LAFRENZ
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Gender | Female
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 362 CHRISTOPHER AVE STE A
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3613
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Country | US
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Telephone | 240-410-3209
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Fax |
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Provider Business Mailing Address
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Address Line | 362 CHRISTOPHER AVE STE A
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3613
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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 | 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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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 7583
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 10377
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119008995
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License Number State | VA
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