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General NPI Number Information
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NPI Number | 1619386422
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Entity Type | Individual
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Provider Name | ALEXANDRA M HIMES MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 17620 REDLAND RD BLDG A
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City | ROCKVILLE
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State | MD
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Zip | 20855-1240
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Country | US
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Telephone | 301-869-7515
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Fax |
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Provider Business Mailing Address
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Address Line | 17620 REDLAND RD BLDG A
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City | ROCKVILLE
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State | MD
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Zip | 20855-1240
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Country | US
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Telephone | 301-869-7515
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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 | 07443
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License Number State | MD
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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 | OC013392
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License Number State | PA
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