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NPI 1285469239

NPI 1285469239 : ANGELA NICOLE DAVINI DPT, PT : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1285469239
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA NICOLE DAVINI DPT, PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/06/2024
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    3508 CONNECTICUT AVE NW 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20008-2401
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    Country              |    US
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    Telephone            |    202-897-3890
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 COMMODORE DR UNIT 380 
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    City                 |    EMERYVILLE
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    State                |    CA
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    Zip                  |    94608-1600
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    Country              |    US
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    Telephone            |    916-956-3245
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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       |    PT210002594
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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       |    306633
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    License Number State |    CA
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