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General NPI Number Information
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NPI Number | 1245502103
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Entity Type | Individual
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Provider Name | MRS. CYNTIA A MAHOI FAWANLE
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Gender | Female
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 2512 24TH ST NE STE 323
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City | WASHINGTON
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State | DC
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Zip | 20018-2126
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Country | US
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Telephone | 202-832-8340
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Fax |
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Provider Business Mailing Address
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Address Line | 7801 POWHATAN ST
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-3529
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Country | US
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Telephone | 301-388-6706
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | A00000509
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License Number State | MD
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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 | HHA200004527
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License Number State | DC
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