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General NPI Number Information
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NPI Number | 1932320157
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Entity Type | Individual
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Provider Name | DEBRA LOIS JEFFRIES DDS
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 1010 QUINCY ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-1738
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Country | US
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Telephone | 202-584-3848
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Fax | 202-584-3850
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Provider Business Mailing Address
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Address Line | 1010 QUINCY ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-1738
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Country | US
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Telephone | 202-584-3848
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Fax | 202-584-3850
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DEN4371
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8876
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS023215L
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License Number State | PA
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