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General NPI Number Information
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NPI Number | 1588386023
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Entity Type | Individual
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Provider Name | ADELE ROSENBLATT MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 307 INTERNATIONAL CIR
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-1321
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Country | US
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Telephone | 410-667-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 6625 CHIPPEWA DR
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City | BALTIMORE
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State | MD
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Zip | 21209-1541
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Country | US
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Telephone | 443-804-9942
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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 | 05909
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License Number State | MD
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