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NPI Code Detail

MEDICARE: DR. REBECCA MEASELL OWENS PHD, CCC-A

MEDICARE: DR. REBECCA MEASELL OWENS PHD, CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist2201001244VA
2237700000XHearing Instrument Specialist2101001483VA
3237600000XAudiologist-Hearing Aid Fitter2101001483VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013964600
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA MEASELL OWENS PHD, CCC-A
Provider Business Mailing Address
First Line : 19465 DEERFIELD AVE STE 201
Second Line :
City : LANSDOWNE
State : VA
Zip : 20176-1703
Country : US
Telephone Number : 703-858-7620
Fax Number : 703-858-7657
Provider Business Practice Location Address
First Line : 19465 DEERFIELD AVE STE 201
Second Line :
City : LANSDOWNE
State : VA
Zip : 20176-1703
Country : US
Telephone Number : 703-858-7620
Fax Number : 703-858-7657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 06/11/2008

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