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General NPI Number Information
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NPI Number | 1003607466
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Entity Type | Organization
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Legal Business Name | HOWARD UNIVERSITY FACULTY PRACTICE PLAN
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 2041 GEORGIA AVENUE NW HUH B810
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City | WASHINGTON
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State | DC
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Zip | 20060-0001
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Country | US
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Telephone | 202-865-3610
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Fax |
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Provider Business Mailing Address
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Address Line | 2041 GEORGIA AVE NW # 3400
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City | WASHINGTON
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State | DC
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Zip | 20060-0001
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Country | US
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Telephone | 202-865-6679
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Fax |
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Authorized Official
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Title or Position | ENROLLMENT MANAGER
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Name | ROBERTA A ODINDO
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Credential |
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Telephone | 202-865-6679
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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 |
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License Number State |
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