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General NPI Number Information
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NPI Number | 1275361305
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Entity Type | Individual
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Provider Name | ESTHER AGHOGHO OMOTAYO ESADAH PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 111 MICHIGAN AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2916
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Country | US
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Telephone | 202-476-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 COLESVILLE RD APT 1-209
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City | SILVER SPRING
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State | MD
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Zip | 20910-6373
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Country | US
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Telephone | 917-530-0633
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP455798
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 86698
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | PH200004789
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License Number State | DC
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