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General NPI Number Information
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NPI Number | 1174947592
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Entity Type | Individual
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Provider Name | CHARITY NWANERI
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Gender | Female
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 7506 GEORGIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1608
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Country | US
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Telephone | 202-291-6972
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 SINOPE WAY
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City | BELTSVILLE
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State | MD
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Zip | 20705-1111
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Country | US
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Telephone | 240-273-2512
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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 | 40139
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 40139
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 40139
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License Number State | DC
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