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General NPI Number Information
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NPI Number | 1831166487
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Entity Type | Individual
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Provider Name | JACQUELYN B. DUNMORE-GRIFFITH MD
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Gender | Female
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 8116 GOOD LUCK RD STE LL05
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City | LANHAM
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State | MD
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Zip | 20706-3502
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Country | US
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Telephone | 240-542-3060
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Fax | 240-542-3061
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Provider Business Mailing Address
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Address Line | PO BOX 418837
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City | BOSTON
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State | MA
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Zip | 02241-8837
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Country | US
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Telephone | 240-542-3060
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Fax | 240-542-3061
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD20575
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | D0046901
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License Number State | MD
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