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General NPI Number Information
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NPI Number | 1386558682
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Entity Type | Individual
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Provider Name | EMMANUEL SOBOWALE
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Gender | Male
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 820 1ST ST NE STE 425
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City | WASHINGTON
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State | DC
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Zip | 20002-9115
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Country | US
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Telephone | 202-506-1209
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Fax |
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Provider Business Mailing Address
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Address Line | 7184 STONE THROW WAY
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City | ELKRIDGE
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State | MD
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Zip | 21075-7909
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Country | US
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Telephone |
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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 | HHA200006878
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License Number State | DC
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