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General NPI Number Information
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NPI Number | 1649447558
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Entity Type | Individual
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Provider Name | MANEESH JAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 50 IRVING ST NW STE 2C-100
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City | WASHINGTON
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State | DC
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Zip | 20422-1121
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Country | US
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Telephone | 202-745-8175
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Fax |
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Provider Business Mailing Address
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Address Line | 50 IRVING ST NW STE 2C-100
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City | WASHINGTON
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State | DC
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Zip | 20422-0001
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Country | US
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Telephone | 202-745-8175
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD450125
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD210012179
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License Number State | DC
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