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General NPI Number Information
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NPI Number | 1285101576
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Entity Type | Individual
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Provider Name | MRS. MONSURAT ADEDAMOLA ASHIRU
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Gender | Female
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 1220 12TH ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-3722
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Country | US
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Telephone | 202-899-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 9725 SUMMERTON DR
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City | MITCHELLVILLE
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State | MD
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Zip | 20721-2395
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Country | US
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Telephone | 240-714-0209
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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 | HHA13972
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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