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General NPI Number Information
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NPI Number | 1578896726
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Entity Type | Individual
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Provider Name | PAMELA D. BROWN-WHITE PT, MBA
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Gender | Female
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Dates
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Enumeration Date | 09/04/2009
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 3321 12TH ST NE SUITE 2
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City | WASHINGTON
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State | DC
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Zip | 20017-4008
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Country | US
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Telephone | 202-832-3590
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Fax | 202-832-8494
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Provider Business Mailing Address
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Address Line | PO BOX 29680
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City | WASHINGTON
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State | DC
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Zip | 20017-0880
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Country | US
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Telephone | 202-832-3590
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Fax | 202-832-8494
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT2248
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 18827
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License Number State | MD
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