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General NPI Number Information
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NPI Number | 1205354743
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Entity Type | Individual
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Provider Name | ADAEZE AMINA NWOKEJI NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 06/20/2018
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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 | 202-291-6973
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Fax | 202-209-7018
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Provider Business Mailing Address
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Address Line | 1509 SOUTHERN SPRINGS LN
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-6074
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Country | US
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Telephone | 202-341-7678
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R152282
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN964827
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License Number State | DC
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