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General NPI Number Information
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NPI Number | 1548483373
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Entity Type | Individual
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Provider Name | MS. MARY FRANCES CATHERINE DELAUNE
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1111 NORTH FAIRFAX STREET
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1488
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Country | US
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Telephone | 703-706-3176
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Fax |
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Provider Business Mailing Address
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Address Line | 7804 ACCOTINK PLACE
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City | ALEXANDRIA
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State | VA
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Zip | 22308-1226
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Country | US
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Telephone | 708-823-6909
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 19523
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License Number State | MD
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