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General NPI Number Information
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NPI Number | 1013781988
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Entity Type | Individual
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Provider Name | DRYANNA RENWICK- PRESCOTT
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 3303 STANTON RD SE
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City | WASHINGTON
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State | DC
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Zip | 20020-2252
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Country | US
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Telephone | 202-545-8444
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Fax |
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Provider Business Mailing Address
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Address Line | 4818 LARKIN RD
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City | FORT MEADE
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State | MD
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Zip | 20755-2150
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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