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General NPI Number Information
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NPI Number | 1144475153
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Entity Type | Organization
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Legal Business Name | D. ANVAY LLC
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 1434 FENWICK LN
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City | SILVER SPRING
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State | MD
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Zip | 20910-3328
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Country | US
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Telephone | 301-563-6197
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Fax |
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Provider Business Mailing Address
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Address Line | 7221 BLAIR RD NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1815
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Country | US
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Telephone | 202-641-8164
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS DIAHNA L HUSBANDS
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Credential |
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Telephone | 202-641-8164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 403750
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License Number State | MD
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