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General NPI Number Information
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NPI Number | 1275798159
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Entity Type | Individual
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Provider Name | JILL DEHNER BANYAS PT
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Gender | Female
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 507 CAPITOL CT NE STE 100
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City | WASHINGTON
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State | DC
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Zip | 20002-7705
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Country | US
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Telephone | 202-524-2320
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Fax |
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Provider Business Mailing Address
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Address Line | 524 LYNCH ST
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City | ROCKVILLE
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State | MD
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Zip | 20850-2116
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Country | US
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Telephone | 530-386-1632
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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 | PT871492
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305205557
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 25052
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2305205557
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 25052
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License Number State | MD
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