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General NPI Number Information
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NPI Number | 1710046230
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Entity Type | Individual
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Provider Name | JEFFREY THOMAS LENERT M.D., M.B.A.
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/08/2007
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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 | 20889-5600
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Country | US
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Telephone | 301-295-4440
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Fax | 301-295-9059
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Provider Business Mailing Address
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Address Line | 7986 FOXMOOR DR
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City | DUNN LORING
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State | VA
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Zip | 22027-1146
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Country | US
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Telephone | 703-573-4520
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 01010456713
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License Number State | VA
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