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General NPI Number Information
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NPI Number | 1558219725
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Entity Type | Organization
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Legal Business Name | TRIUMPH PEDIATRICS LLC
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 4900 MASSACHUSETTS AVE NW STE 320
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City | WASHINGTON
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State | DC
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Zip | 20016-4358
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Country | US
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Telephone | 202-621-9793
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Fax | 202-652-0907
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Provider Business Mailing Address
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Address Line | 919 FLORIDA AVE NW APT 703
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City | WASHINGTON
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State | DC
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Zip | 20001-5050
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | OMOLOLU MAJEKODUNMI
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Credential | OTR/L
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Telephone | 202-621-9793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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