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General NPI Number Information
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NPI Number | 1104646710
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Entity Type | Individual
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Provider Name | DEANNA JOSEPHINE MAGERER DNP, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 7175 12TH STREET NW SUITE 304
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City | WASHINGTON
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State | DC
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Zip | 20012
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Country | US
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Telephone | 202-525-2426
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Fax |
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Provider Business Mailing Address
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Address Line | 18071 ROYAL BONNET CIR
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City | GAITHERSBURG
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State | MD
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Zip | 20886-0443
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Country | US
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Telephone | 240-620-2998
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP500009305
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R239234
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License Number State | MD
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