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General NPI Number Information
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NPI Number | 1538527064
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Entity Type | Individual
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Provider Name | EVELYN MANKAH AWUNDAGA
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Gender | Female
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 1 ARDMORE CT
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City | BLACKWOOD
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State | NJ
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Zip | 08012-4441
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Country | US
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Telephone | 646-730-0249
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Fax |
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Provider Business Mailing Address
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Address Line | 442 BROADWAY
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City | CAMDEN
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State | NJ
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Zip | 08103-1246
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Country | US
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Telephone | 164-673-0024
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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 | 372600000X
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Taxonomy Name | Adult Companion
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR13493700
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License Number State | NJ
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