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General NPI Number Information
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NPI Number | 1164991659
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Entity Type | Individual
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Provider Name | EUGENE NWABUEZE IGWE
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Gender | Male
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Dates
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Enumeration Date | 11/14/2018
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 4400 BROOKS ST NE
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City | WASHINGTON
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State | DC
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Zip | 20019-4605
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Country | US
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Telephone | 202-939-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 BROOKS STREET
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City | N.E.
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State | DC
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Zip | 20019
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Country | US
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Telephone | 202-939-3600
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | DC
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