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General NPI Number Information
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NPI Number | 1912636333
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Entity Type | Individual
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Provider Name | SANDY MOLINA OT
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Gender | Female
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 1525 N ROLLING RD
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City | CATONSVILLE
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State | MD
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Zip | 21228-1100
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Country | US
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Telephone | 410-402-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 16 WASHINGTON AVE
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City | ENFIELD
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State | CT
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Zip | 06082-3616
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Country | US
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Telephone | 860-776-7140
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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 | 09678
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License Number State | MD
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