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General NPI Number Information
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NPI Number | 1679294318
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Entity Type | Organization
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Legal Business Name | THE REMOTE OT LLC
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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 | 5471 OLD COLUMBIA RD
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City | COLUMBIA
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State | MD
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Zip | 21045-3201
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Country | US
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Telephone | 239-784-3931
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Fax |
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Provider Business Mailing Address
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Address Line | 5471 OLD COLUMBIA RD
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City | COLUMBIA
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State | MD
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Zip | 21045-3201
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Country | US
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Telephone | 239-784-3931
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Fax |
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Authorized Official
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Title or Position | OWNER & OCCUPATIONAL THERAPIST
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Name | GENEVIEVE MARIANNE ENGLEMAN
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Credential | MS, CFWE, OTR/L
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Telephone | 239-784-3931
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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 |
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License Number State |
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