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General NPI Number Information
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NPI Number | 1962208710
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Entity Type | Organization
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Legal Business Name | FIRST OPTION THERAPY SERVICES
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 5000 SUNNYSIDE AVE STE 101
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City | BELTSVILLE
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State | MD
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Zip | 20705-2327
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Country | US
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Telephone | 240-334-1121
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Fax | 240-540-4963
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Provider Business Mailing Address
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Address Line | 12902 OLD CHAPEL RD
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City | BOWIE
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State | MD
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Zip | 20720-4616
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Country | US
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Telephone | 301-358-6458
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JENNIFER CHINYERE MADUBUKO
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Credential |
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Telephone | 240-334-1121
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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