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NPI 1750675062

NPI 1750675062 : ANNA HASKELL OTR/L, CHES : ANNAPOLIS, MD

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General NPI Number Information
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    NPI Number           |    1750675062
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA HASKELL OTR/L, CHES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2011
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    Last Update Date     |    06/09/2011
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Provider Practice Location Address
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    Address Line         |    2525 RIVA RD SUITE 100
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    City                 |    ANNAPOLIS
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    State                |    MD
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    Zip                  |    21401-7411
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    Country              |    US
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    Telephone            |    410-312-7631
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4104 OVERLOOK CT 
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    City                 |    DUNKIRK
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    State                |    MD
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    Zip                  |    20754-9453
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    Country              |    US
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    Telephone            |    240-687-4070
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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       |    06646
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    License Number State |    MD
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