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NPI 1669150348

NPI 1669150348 : SARA GOLSHIRI OTD : BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1669150348
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    Entity Type          |    Individual 
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    Provider Name        |    SARA GOLSHIRI OTD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/11/2023
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    Last Update Date     |    10/24/2023
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Provider Practice Location Address
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    Address Line         |    8901 ROCKVILLE PIKE 
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20889-2342
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    Country              |    US
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    Telephone            |    301-295-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1410 N SCOTT ST APT 1033 
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    City                 |    ARLINGTON
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    State                |    VA
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    Zip                  |    22209-2982
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    Country              |    US
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    Telephone            |    301-919-6880
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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       |    010001831
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    License Number State |    DC
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