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General NPI Number Information
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NPI Number | 1043650708
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Entity Type | Individual
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Provider Name | DINA HANNA DAINES CNM
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Gender | Female
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 2150 PENNSYLVANIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20037-3201
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Country | US
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Telephone | 202-741-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 706 MAPLEWOOD AVE
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City | TAKOMA PARK
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State | MD
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Zip | 20912-6314
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Country | US
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Telephone | 646-538-2073
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 201507184RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | RN1044325
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License Number State | DC
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