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General NPI Number Information
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NPI Number | 1679217210
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Entity Type | Individual
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Provider Name | JILL S GELINE OT
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Gender | Female
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 10215 FERNWOOD RD STE 506
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City | BETHESDA
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State | MD
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Zip | 20817-1184
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Country | US
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Telephone | 301-530-1010
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Fax | 301-897-8597
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Provider Business Mailing Address
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Address Line | 10215 FERNWOOD RD STE 506
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City | BETHESDA
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State | MD
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Zip | 20817-1184
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Country | US
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Telephone | 301-530-1010
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Fax | 301-962-7480
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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 | T01254
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License Number State | MD
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