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General NPI Number Information
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NPI Number | 1033541982
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Entity Type | Individual
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Provider Name | JENNIFER DIANE TREAT MSHS, MPH, PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 11300 ROCKVILLE PIKE STE 1100
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City | ROCKVILLE
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State | MD
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Zip | 20852-3012
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Country | US
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Telephone | 240-514-4140
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CENTER DRIVE ROOM 12C103
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-761-1791
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Fax | 301-480-4940
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110-004326
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0005131
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License Number State | MD
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