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General NPI Number Information
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NPI Number | 1881512713
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Entity Type | Individual
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Provider Name | DINA MARIE SPENCER RN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 99 TREMONT ST
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City | MANASSAS PARK
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State | VA
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Zip | 20111-1800
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Country | US
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Telephone | 703-993-5880
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 EDSALL RD APT 309
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City | ALEXANDRIA
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State | VA
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Zip | 22304-6002
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Country | US
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Telephone | 703-388-8269
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 0001247554
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License Number State | VA
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