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NPI 1487304671

NPI 1487304671 : DYLAN HEMSTED : WINCHESTER, VA

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General NPI Number Information
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    NPI Number           |    1487304671
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    Entity Type          |    Individual 
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    Provider Name        |    DYLAN HEMSTED
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/28/2022
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    Last Update Date     |    09/03/2025
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Provider Practice Location Address
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    Address Line         |    912 S. PLEASANT VALLEY ROAD 
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    City                 |    WINCHESTER
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    State                |    VA
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    Zip                  |    22601-5152
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    Country              |    US
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    Telephone            |    540-662-6822
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    224D CORNWALL ST NW STE 403 
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    City                 |    LEESBURG
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    State                |    VA
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    Zip                  |    20176-2704
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    Country              |    US
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    Telephone            |    703-737-6010
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    10532
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    License Number State |    WV
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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       |    0103301462
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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