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General NPI Number Information
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NPI Number | 1194652610
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Entity Type | Individual
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Provider Name | HIWOT WONDMU
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Gender | Female
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 10411 MOTOR CITY DR STE 450B
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City | BETHESDA
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State | MD
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Zip | 20817-1008
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Country | US
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Telephone | 240-391-1741
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Fax |
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Provider Business Mailing Address
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Address Line | 7610 MAPLE AVE
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City | TAKOMA PARK
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State | MD
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Zip | 20912-5558
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Country | US
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Telephone |
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HHA200002767
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License Number State | DC
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