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General NPI Number Information
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NPI Number | 1548771009
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Entity Type | Individual
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Provider Name | DARLINGTON NNAEMEZIE IBE
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Gender | Male
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 10/23/2017
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Provider Practice Location Address
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Address Line | 4603 DOCTOR BEANS LEGACY CIR
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City | BOWIE
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State | MD
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Zip | 20720-6387
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Country | US
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Telephone | 202-288-3288
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Fax |
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Provider Business Mailing Address
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Address Line | 4603 DOCTOR BEANS LEGACY CIR
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City | BOWIE
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State | MD
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Zip | 20720-6387
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Country | US
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Telephone | 202-288-3288
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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 | HHA13186
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License Number State | WA
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