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General NPI Number Information
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NPI Number | 1740138510
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Entity Type | Organization
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Legal Business Name | BUILDING BLOCKS PEDIATRIC THERAPY, LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 605 MAPLE LAWN DR
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City | BOWIE
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State | MD
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Zip | 20716-3560
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Country | US
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Telephone | 410-571-4866
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Fax |
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Provider Business Mailing Address
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Address Line | 605 MAPLE LAWN DR
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City | BOWIE
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State | MD
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Zip | 20716-3560
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Country | US
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Telephone | 410-571-4866
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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 | ZACHARY GREAVER
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Credential |
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Telephone | 443-752-7798
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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