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General NPI Number Information
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NPI Number | 1457216574
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Entity Type | Individual
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Provider Name | MS. NIAYA IMANI-ADA JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 12/20/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 3130 POTOMAC AVE APT 308
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City | ARLINGTON
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State | VA
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Zip | 22202-4572
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Country | US
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Telephone | 301-885-8231
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Fax |
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Provider Business Mailing Address
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Address Line | 3404 SOAPSTONE CT
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City | WALDORF
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State | MD
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Zip | 20601-4637
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Country | US
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Telephone | 301-885-8231
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN500007356
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License Number State | DC
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