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General NPI Number Information
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NPI Number | 1518544246
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Entity Type | Individual
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Provider Name | RAHNI DEVON DEMMINGS SFA
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Gender | Male
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Dates
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Enumeration Date | 03/27/2021
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Last Update Date | 03/27/2021
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Provider Practice Location Address
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Address Line | 20680 SENECA MEADOWS PKWY
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City | GERMANTOWN
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State | MD
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Zip | 20876-7027
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Country | US
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Telephone | 304-620-2102
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Fax |
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Provider Business Mailing Address
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Address Line | 13665 LEGACY CIRCLE S
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City | HERNDON
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State | VA
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Zip | 20171
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Country | US
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Telephone | 304-620-2102
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State | MD
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