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General NPI Number Information
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NPI Number | 1487973368
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Entity Type | Individual
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Provider Name | MRS. LENYA GREGORY-PERKINS
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Gender | Female
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 4415 14TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-7019
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Country | US
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Telephone | 202-722-4545
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Fax | 202-722-4517
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Provider Business Mailing Address
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Address Line | 4415 14TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-7019
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Country | US
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Telephone | 202-722-4545
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Fax | 202-722-4517
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 1744P300X
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | DCM2726
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License Number State | DC
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