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General NPI Number Information
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NPI Number | 1932554805
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Entity Type | Individual
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Provider Name | JASMINE MENACHERY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 13502 DEERBROOK DR
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City | POTOMAC
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State | MD
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Zip | 20854-6328
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Country | US
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Telephone | 301-802-6944
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 E WEST HWY APT 316
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City | SILVER SPRING
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State | MD
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Zip | 20910-3055
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Country | US
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Telephone |
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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 | 07808
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License Number State | MD
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