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General NPI Number Information
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NPI Number | 1013271261
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Entity Type | Individual
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Provider Name | REMY EBUNG EKANEWANG
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Gender | Male
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 1818 NEW YORK AVE NE STE 110
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City | WASHINGTON
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State | DC
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Zip | 20002-1849
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Country | US
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Telephone | 202-489-0615
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Fax |
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Provider Business Mailing Address
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Address Line | 14009 BRAMBLE LN APT T2
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City | LAUREL
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State | MD
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Zip | 20708-1222
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Country | US
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Telephone | 240-440-0433
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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