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NPI 1801420781

NPI 1801420781 : BLAKENEY PARKER : BEL AIR, MD

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General NPI Number Information
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    NPI Number           |    1801420781
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    Entity Type          |    Individual 
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    Provider Name        |    BLAKENEY PARKER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/28/2020
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    Last Update Date     |    02/21/2025
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Provider Practice Location Address
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    Address Line         |    12 MEDSTAR BLVD STE 352 
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    City                 |    BEL AIR
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    State                |    MD
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    Zip                  |    21015-1798
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    Country              |    US
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    Telephone            |    410-877-8078
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    652 SNAPDRAGON CT 
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    City                 |    ABINGDON
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    State                |    MD
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    Zip                  |    21009-1612
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    Country              |    US
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    Telephone            |    804-767-0588
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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       |    09051
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    License Number State |    MD
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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       |    20639
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    License Number State |    FL
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