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General NPI Number Information
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NPI Number | 1700372141
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Entity Type | Individual
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Provider Name | AVIA BARRETT-POWELL NP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 10709 MD-210 SUITE D
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City | FORT WASSHINGTON
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State | MD
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Zip | 20744
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Country | US
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Telephone | 301-257-0483
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Fax |
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Provider Business Mailing Address
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Address Line | 10709 MD-210 SUITE D,
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City | FORT WASHINGTON
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State | MD
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Zip | 20744
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Country | US
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Telephone | 301-257-0483
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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 | R155394
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License Number State | MD
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