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General NPI Number Information
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NPI Number | 1760104467
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Entity Type | Individual
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Provider Name | SUMANDEEP SAHARAN MS, OTR/L
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Gender | Male
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 8700 JONES MILL RD
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4729
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Country | US
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Telephone | 301-657-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 CRESTHAVEN DR
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City | SILVER SPRING
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State | MD
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Zip | 20903-1604
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Country | US
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Telephone | 716-548-9145
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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 | 07332
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License Number State | MD
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