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Renascance Dermatology PC

Dermatology Physician in Fairfax, VA · enumerated 2013 · authorized official Dwana Shabazz, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457796641

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Registry record

Entity type Organization (Type 2)
Legal business name Renascance Dermatology PC
Practice address 3620 Joseph Siewick Dr, Suite 303, Fairfax, VA, 22033
Phone (703) 865-6783
Fax (703) 865-6784
Enumeration date May 1, 2013
Last updated in NPPES May 1, 2013

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 0101240235 (VA) Primary

Authorized official

Name Dwana Shabazz
Title Owner
Phone (703) 865-6783

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-05-01. Verify at npiregistry.cms.hhs.gov.
Where is Renascance Dermatology PC located?
The practice location on file with NPPES is in Fairfax, VA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-01.