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General NPI Number Information
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NPI Number | 1437170271
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Entity Type | Individual
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Provider Name | RENUKA DAROLIA ADELIZZI MD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW SUITE 4400N
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-877-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 6911 STRATA ST
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City | MC LEAN
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State | VA
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Zip | 22101-5437
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Country | US
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Telephone | 202-431-4155
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD036140
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License Number State | DC
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