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General NPI Number Information
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NPI Number | 1245858877
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Entity Type | Individual
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Provider Name | DR. ALLISON RINKER ST. JOHN
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 5480 WISCONSIN AVE STE 210
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City | CHEVY CHASE
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State | MD
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Zip | 20815-3529
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Country | US
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Telephone | 301-986-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 5214 NORWAY DR
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6672
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Country | US
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Telephone |
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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 | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 04621
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 04621
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License Number State | MD
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