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General NPI Number Information
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NPI Number | 1417666942
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Entity Type | Organization
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Legal Business Name | ACCESS HEALTH FAMILY CLINIC LLC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 9470 ANNAPOLIS RD STE 101
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City | LANHAM
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State | MD
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Zip | 20706-4048
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Country | US
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Telephone | 202-499-4300
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Fax | 410-424-0862
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Provider Business Mailing Address
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Address Line | 9470 ANNAPOLIS RD STE 101
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City | LANHAM
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State | MD
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Zip | 20706-4048
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Country | US
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Telephone | 202-499-4300
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Fax | 410-424-0862
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Authorized Official
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Title or Position | CEO
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Name | ASONGTIA NTONGHAWAH
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Credential | DNP.PMHNP-BC.FNP-C
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Telephone | 202-499-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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