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General NPI Number Information
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NPI Number | 1154776524
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Entity Type | Individual
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Provider Name | GRACE O AKINJIDE
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Gender | Female
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 6210 N CAPITOL ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-1416
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Country | US
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Telephone | 202-905-6286
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Fax |
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Provider Business Mailing Address
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Address Line | 13709 HOTOMTOT DR
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-7157
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Country | US
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Telephone | 202-702-3725
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC7873
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN1006945
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC15066
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License Number State | DC
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