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General NPI Number Information
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NPI Number | 1861564536
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Entity Type | Individual
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Provider Name | AMY MARIE HUFFINES OTA
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 301 RUSSELL AVE
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City | GAITHERSBURG
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State | MD
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Zip | 20877-2805
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Country | US
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Telephone | 301-216-4247
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Fax | 301-216-4249
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Provider Business Mailing Address
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Address Line | 116 MEADOWLARK AVE
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City | MOUNT AIRY
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State | MD
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Zip | 21771-5535
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Country | US
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Telephone | 301-829-2455
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | A01586
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License Number State | MD
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