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General NPI Number Information
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NPI Number | 1558039636
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Entity Type | Individual
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Provider Name | MS. DAMIAN OGONNA NWAFOR
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Gender | Female
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2007 VERMONT AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20001-4029
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Country | US
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Telephone | 202-643-8012
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 OTIS ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2518
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Country | US
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Telephone | 908-249-8732
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35SI00774800
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License Number State | NJ
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