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General NPI Number Information
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NPI Number | 1346868072
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Entity Type | Individual
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Provider Name | STELLA UCHE ODIDIKA
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-3017
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Country | US
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Telephone | 202-215-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 3833 SUNFLOWER CIR
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City | BOWIE
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State | MD
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Zip | 20721-2464
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Country | US
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Telephone | 202-215-3205
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN1015750
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN1015750
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R172621
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License Number State | MD
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