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General NPI Number Information
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NPI Number | 1649923590
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Entity Type | Organization
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Legal Business Name | CHILDREN AT PLAY, LLC
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 1610 WEST ST STE 207
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4054
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Country | US
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Telephone | 443-745-0926
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Fax | 866-443-1765
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Provider Business Mailing Address
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Address Line | 1610 WEST ST STE 207
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4054
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Country | US
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Telephone | 443-745-0926
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Fax | 866-443-1765
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Authorized Official
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Title or Position | OWNER, OCCUPATIONAL THERAPIST
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Name | SAMANTHA OFFUTT HYALI
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Credential | MS, OTR/L
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Telephone | 443-745-0926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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