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General NPI Number Information
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NPI Number | 1053820308
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Entity Type | Individual
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Provider Name | ALICE ASONG ESUNGE
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Gender | Female
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 14419 DOLBROOK LN
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City | BOWIE
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State | MD
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Zip | 20721-3219
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Country | US
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Telephone | 301-408-8684
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Fax |
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Provider Business Mailing Address
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Address Line | 14419 DOLBROOK LN
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City | BOWIE
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State | MD
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Zip | 20721-3219
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Country | US
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Telephone | 301-408-8684
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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 | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number | 141310
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License Number State | MD
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