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General NPI Number Information
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NPI Number | 1760602122
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Entity Type | Individual
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Provider Name | JEANETTE MCDONALD M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 910 17TH ST NW 306
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City | WASHINGTON
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State | DC
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Zip | 20006-2601
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Country | US
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Telephone | 202-861-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 2853 ONTARIO RD NW 301
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City | WASHINGTON
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State | DC
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Zip | 20009-2224
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Country | US
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Telephone | 202-797-0052
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD 25654
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License Number State | DC
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