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General NPI Number Information
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NPI Number | 1811769227
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Entity Type | Organization
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Legal Business Name | CALVERT REJUVENATIONS
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 485 CARLISLE DR STE A
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City | HERNDON
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State | VA
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Zip | 20170-5602
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Country | US
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Telephone | 571-323-1088
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Fax |
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Provider Business Mailing Address
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Address Line | 43188 SPINKS FERRY RD
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City | LEESBURG
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State | VA
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Zip | 20176-5626
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Country | US
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Telephone | 571-212-2982
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRISCILLA CALVERT THOMPSON
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Credential | LMT
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Telephone | 571-212-2982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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