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General NPI Number Information
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NPI Number | 1699848291
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Entity Type | Individual
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Provider Name | JULIE ALISON MISHKIN OTR
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 10605 CONCORD ST STE 102
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City | KENSINGTON
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State | MD
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Zip | 20895
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Country | US
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Telephone | 13-933-5688
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Fax |
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Provider Business Mailing Address
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Address Line | 11613 GOWRIE CT
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City | POTOMAC
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State | MD
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Zip | 20854-3623
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Country | US
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Telephone |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 0T905
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License Number State | DC
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