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General NPI Number Information
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NPI Number | 1881562759
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Entity Type | Individual
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Provider Name | JOSEPH PETER IANNIELLO DVM
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Gender | Male
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 4832 MACARTHUR BLVD NW
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City | WASHINGTON
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State | DC
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Zip | 20007-1557
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Country | US
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Telephone | 202-337-0120
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Fax |
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Provider Business Mailing Address
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Address Line | 129 W ST NW APT 104
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City | WASHINGTON
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State | DC
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Zip | 20001-1303
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Country | US
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Telephone | 718-612-4016
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 0301205527
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | V-08905
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | VET200001189
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License Number State | DC
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