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General NPI Number Information
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NPI Number | 1609071299
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Entity Type | Individual
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Provider Name | ROXANNE NICOLE DANIELSON M.D. M.P.H. M.S.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | NATIONAL NAVAL MEDICAL CTR 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-319-8278
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Fax |
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Provider Business Mailing Address
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Address Line | 12038 CHASE CROSSING CIR APT 403
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City | ROCKVILLE
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State | MD
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Zip | 20852-4764
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Country | US
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Telephone | 617-320-8756
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 010244208
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License Number State | VA
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