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General NPI Number Information
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NPI Number | 1073603981
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Entity Type | Individual
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Provider Name | GEORGETTA MEREDITH MANNING COX DDS, MPH
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 1301 MASSACHUSETTS AVE NW SUITE 100
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City | WASHINGTON
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State | DC
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Zip | 20005-4162
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Country | US
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Telephone | 202-249-1429
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Fax |
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Provider Business Mailing Address
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Address Line | 1534 ROXANNA RD, NW
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City | WASHINGTON
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State | DC
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Zip | 20012
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Country | US
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Telephone | 202-249-1429
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3212
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License Number State | DC
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