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General NPI Number Information
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NPI Number | 1487120432
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Entity Type | Individual
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Provider Name | FERDINAND GNAGNE AKESSE
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Gender | Male
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 6120 KANSAS AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20011-1531
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Country | US
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Telephone | 202-829-1719
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Fax |
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Provider Business Mailing Address
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Address Line | 5475 COLUMBIA RD APT 624
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City | COLUMBIA
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State | MD
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Zip | 21044-5681
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Country | US
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Telephone | 413-210-9977
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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 | HHA14028
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License Number State | DC
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