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General NPI Number Information
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NPI Number | 1881958353
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Entity Type | Individual
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Provider Name | TERENCE DEXTER
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Gender | Male
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 4645 NANNIE HELEN BURROUGHS AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20019-3622
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Country | US
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Telephone | 202-506-0416
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 DEVONPORT CT
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City | GLENN DALE
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State | MD
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Zip | 20769-9141
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Country | US
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Telephone | 202-506-0416
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1013669
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN1013669
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP1013669
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License Number State | DC
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