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NPI 1154460723

NPI 1154460723 : DANLADI WHITTEN PT : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1154460723
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    Entity Type          |    Individual 
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    Provider Name        |    DANLADI WHITTEN PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/06/2007
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    Last Update Date     |    11/27/2024
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Provider Practice Location Address
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    Address Line         |    901 6TH ST SW STE PTC FINTESS CENTER
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20024-3850
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    Country              |    US
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    Telephone            |    202-646-0100
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    Fax                  |    202-646-0766
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Provider Business Mailing Address
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    Address Line         |    2630 MONROE ST NE 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20018-2918
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    Country              |    US
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    Telephone            |    202-203-8056
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT870222
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    License Number State |    DC
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