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General NPI Number Information
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NPI Number | 1841804069
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Entity Type | Individual
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Provider Name | MARY MARGARET MCCLEAN MOT
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Gender | Female
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 14955 SHADY GROVE RD STE 230
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City | ROCKVILLE
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State | MD
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Zip | 20850-8701
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Country | US
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Telephone | 240-268-0883
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Fax |
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Provider Business Mailing Address
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Address Line | 14955 SHADY GROVE RD STE 230
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City | ROCKVILLE
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State | MD
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Zip | 20850-8701
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Country | US
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Telephone | 979-574-4470
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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 | OT200001226
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License Number State | DC
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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 | 09372
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License Number State | MD
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