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General NPI Number Information
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NPI Number | 1053392100
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Entity Type | Individual
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Provider Name | JOSEPH GARRETT REILLY M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 3418 OLANDWOOD CT SUITE 111
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City | OLNEY
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State | MD
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Zip | 20832-1375
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Country | US
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Telephone | 301-774-8198
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Fax | 301-774-8199
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Provider Business Mailing Address
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Address Line | 3418 OLANDWOOD CT SUITE 111
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City | OLNEY
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State | MD
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Zip | 20832-1375
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Country | US
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Telephone | 301-774-8198
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Fax | 301-774-8199
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | D-39190
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License Number State | MD
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