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General NPI Number Information
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NPI Number | 1225471907
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Entity Type | Individual
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Provider Name | ABEDNEGO AMBE ACHAMBA HHA
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Gender | Male
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1226 E 10TH AVE APT 3
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City | ANCHORAGE
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State | AK
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Zip | 99501-4052
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Country | US
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Telephone | 202-961-4920
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Fax |
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Provider Business Mailing Address
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Address Line | 1226 E 10TH AVE APT 3
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City | ANCHORAGE
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State | AK
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Zip | 99501-4052
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Country | US
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Telephone | 202-961-4920
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | AK
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