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General NPI Number Information
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NPI Number | 1285133181
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Entity Type | Individual
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Provider Name | MARIE-THERESE NZAMBE
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Gender | Female
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 110 D ST SE APT 505
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City | WASHINGTON
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State | DC
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Zip | 20003-1814
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Country | US
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Telephone | 202-774-0667
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Fax |
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Provider Business Mailing Address
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Address Line | 5041 13TH STREET NE
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City | WASHINGTON
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State | DC
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Zip | 20017
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Country | US
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Telephone | 267-250-1316
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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 | NA00810162
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License Number State | DC
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