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NPI Code Detail

MEDICARE: VICKI CLINE

MEDICARE: VICKI CLINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantA02078MD

General Provider Information

NPI Number : 1669990370
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI CLINE
Provider Business Mailing Address
First Line : 4205 WINTERODE WAY
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-2729
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 EASTERN BLVD
Second Line :
City : ESSEX
State : MD
Zip : 21221-7016
Country : US
Telephone Number : 410-574-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2017
Last Update Date : 09/01/2017

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Directions to “ VICKI CLINE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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