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General NPI Number Information
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NPI Number | 1780494633
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Entity Type | Organization
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Legal Business Name | STRIDES THERAPY LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 2525 RIVA RD STE 137
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7437
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Country | US
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Telephone | 438-081-2184
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Fax |
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Provider Business Mailing Address
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Address Line | 3776 PATUXENT RIVER RD
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City | DAVIDSONVILLE
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State | MD
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Zip | 21035-2419
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Country | US
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Telephone | 443-808-1218
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | LOREN DLUGOS
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Credential |
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Telephone | 443-808-1218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 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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