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General NPI Number Information
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NPI Number | 1912488289
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Entity Type | Individual
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Provider Name | BRYANNA I SCHWARTING
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Gender | Female
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 4800 FILLMORE AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22311-5070
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Country | US
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Telephone | 321-530-1722
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Fax |
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Provider Business Mailing Address
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Address Line | 1536 ARTILLERY TER NE
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City | LEESBURG
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State | VA
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Zip | 20176-6624
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Country | US
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Telephone | 571-271-9276
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202009335
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License Number State | VA
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