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General NPI Number Information
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NPI Number | 1992286447
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Entity Type | Individual
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Provider Name | MANEKEU N NDOPING
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Gender | Female
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 3415 GREENCASTLE RD
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City | BURTONSVILLE
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State | MD
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Zip | 20866-1715
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Country | US
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Telephone | 240-350-3586
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Fax |
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Provider Business Mailing Address
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Address Line | 3555 FLOATING LEAF LN APT C303
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City | LAUREL
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State | MD
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Zip | 20724-4904
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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 | 07849
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License Number State | MD
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