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General NPI Number Information
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NPI Number | 1891795167
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Entity Type | Individual
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Provider Name | JOANN COLLIER-MANNING
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Gender | Female
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 03/12/2012
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Provider Practice Location Address
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Address Line | 3800 RESERVOIR RD NW
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone | 202-745-8314
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Fax | 202-745-2268
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Provider Business Mailing Address
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Address Line | PO BOX 418283
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City | BOSTON
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State | MA
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Zip | 02241-8283
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Country | US
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Telephone | 703-558-1544
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 14508
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License Number State | DC
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