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General NPI Number Information
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NPI Number | 1477487379
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Entity Type | Organization
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Legal Business Name | DIAMOND HEALTHCARE ADVOCATES, INC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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Country | US
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Telephone | 240-701-4354
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Fax |
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Provider Business Mailing Address
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Address Line | 8435 ICE CRYSTAL DR
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City | LAUREL
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State | MD
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Zip | 20723-2006
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Country | US
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Telephone | 240-441-5124
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KENNETH CHO NDIKUM
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Credential | CPA
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Telephone | 240-441-5124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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