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NPI 1548675291

NPI 1548675291 : MICHELLE VENESKEY PRICE DPT : CHEVY CHASE, MD

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General NPI Number Information
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    NPI Number           |    1548675291
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE VENESKEY PRICE DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/20/2014
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    Last Update Date     |    01/24/2018
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Provider Practice Location Address
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    Address Line         |    5530 WISCONSIN AVE SUITE 960
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815-4404
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    Country              |    US
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    Telephone            |    301-986-4745
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1155 RIPLEY ST APT 1713 
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    City                 |    SILVER SPRING
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    State                |    MD
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    Zip                  |    20910-7470
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    Country              |    US
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    Telephone            |    410-300-8054
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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        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    25128
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    
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    License Number State |    
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