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General NPI Number Information
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NPI Number | 1912049008
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Entity Type | Individual
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Provider Name | MARK VINCENT FARINAS M.S., OTR
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 4954 N PALMER RD BLDG 19
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City | BETHESDA
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State | MD
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Zip | 20889-5630
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Country | US
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Telephone | 301-319-4225
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Fax |
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Provider Business Mailing Address
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Address Line | 3836 BERLEIGH HILL CT
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City | BURTONSVILLE
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State | MD
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Zip | 20866-1392
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Country | US
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Telephone | 301-219-7051
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 04680
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License Number State | MD
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