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General NPI Number Information
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NPI Number | 1578237533
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Entity Type | Individual
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Provider Name | MARY LOUISE CRAVER MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 7945 MACARTHUR BLVD
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City | CABIN JOHN
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State | MD
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Zip | 20818-1634
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Country | US
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Telephone | 571-286-9692
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Fax |
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Provider Business Mailing Address
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Address Line | 307 W COLUMBIA ST
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City | FALLS CHURCH
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State | VA
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Zip | 22046-2647
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Country | US
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Telephone | 571-286-9692
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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