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General NPI Number Information
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NPI Number | 1417926858
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Entity Type | Individual
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Provider Name | JOANNE G CRANTZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 8316 ARLINGTON BLVD SUITE 615
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City | FAIRFAX
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State | VA
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Zip | 22031-5207
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Country | US
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Telephone | 703-560-8877
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Fax | 706-560-8869
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Provider Business Mailing Address
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Address Line | 8316 ARLINGTON BLVD SUITE 615
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City | FAIRFAX
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State | VA
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Zip | 22031-5207
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Country | US
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Telephone | 703-560-8877
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Fax | 706-560-8869
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 0101038714
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License Number State | VA
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