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General NPI Number Information
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NPI Number | 1083539217
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Entity Type | Individual
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Provider Name | PASTEUR MESUMBE NGWANE
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Gender | Male
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 1300 I ST NW STE 473
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City | WASHINGTON
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State | DC
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Zip | 20005-3314
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Country | US
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Telephone | 202-749-8518
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Fax |
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Provider Business Mailing Address
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Address Line | 15029 PINE TOP LN
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City | BURTONSVILLE
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State | MD
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Zip | 20866-1318
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Country | US
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Telephone | 240-564-9681
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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 | 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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