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General NPI Number Information
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NPI Number | 1639822778
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Entity Type | Individual
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Provider Name | MARISSA REHMAN NP
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Gender | Female
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Dates
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Enumeration Date | 01/29/2022
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2500 WISCONSIN AVE NW STE 112
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City | WASHINGTON
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State | DC
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Zip | 20007-4528
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Country | US
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Telephone | 803-415-6946
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Fax |
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Provider Business Mailing Address
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Address Line | 1561 MAYPINE COMMONS WAY
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City | ROCK HILL
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State | SC
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Zip | 29732-2735
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Country | US
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Telephone | 803-415-6946
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 348798
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AC007169
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP500006442
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License Number State | DC
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