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General NPI Number Information
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NPI Number | 1891963823
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Entity Type | Individual
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Provider Name | BRANDI MARIE FOLK OTRL
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Gender | Female
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 6500 THAYER CTR
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City | OAKLAND
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State | MD
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Zip | 21550-1116
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Country | US
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Telephone | 301-334-1863
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Fax | 301-334-5835
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Provider Business Mailing Address
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Address Line | 6500 THAYER CTR
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City | OAKLAND
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State | MD
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Zip | 21550-1116
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Country | US
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Telephone | 301-334-1863
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Fax | 301-334-5835
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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 | 05091
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 1154
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License Number State | WV
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