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General NPI Number Information
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NPI Number | 1144676644
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Entity Type | Individual
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Provider Name | DAWN MCKENZIE-DEHNERT
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Gender | Female
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 8183 GENTIL CT
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City | HAYES
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State | VA
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Zip | 23072-4654
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Country | US
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Telephone | 804-505-1012
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Fax | 757-299-4451
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Provider Business Mailing Address
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Address Line | P.O. BOX 694
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City | NORTH
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State | VA
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Zip | 23128
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Country | US
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Telephone | 804-505-1012
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Fax | 757-299-4451
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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 | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State | VA
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