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General NPI Number Information
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NPI Number | 1376802983
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Entity Type | Individual
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Provider Name | JOAN ESHO IRUAFEMI
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Gender | Female
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 9470 ANNAPOLIS RD STE 402
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City | LANHAM
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State | MD
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Zip | 20706-3059
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Country | US
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Telephone | 240-486-6319
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Fax |
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Provider Business Mailing Address
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Address Line | 5407 ANNETTE CT
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-2798
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Country | US
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Telephone | 240-602-3082
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | R202589
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 163WS0121X
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Taxonomy Name | Plastic Surgery Registered Nurse
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License Number | R202589
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License Number State | MD
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