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General NPI Number Information
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NPI Number | 1326018250
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Entity Type | Individual
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Provider Name | LUBRINA ESTELLA BRYANT DPM
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 1647 BENNING RD NE SUITE 200
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City | WASHINGTON
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State | DC
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Zip | 20002-4570
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Country | US
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Telephone | 202-388-5303
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Fax | 202-388-5305
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Provider Business Mailing Address
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Address Line | 1647 BENNING RD NE 200
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City | WASHINGTON
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State | DC
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Zip | 20002-4570
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Country | US
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Telephone | 202-388-5303
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Fax | 202-388-5305
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103300768
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | P01000007
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License Number State | DC
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