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General NPI Number Information
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NPI Number | 1578082210
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Entity Type | Individual
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Provider Name | JOANNAH K ADEYEYE
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Gender | Female
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 17921 MERINO DR
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City | ACCOKEEK
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State | MD
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Zip | 20607-3275
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Country | US
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Telephone | 240-505-4750
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Fax |
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Provider Business Mailing Address
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Address Line | 17921 MERINO DR
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City | ACCOKEEK
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State | MD
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Zip | 20607-3275
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Country | US
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Telephone | 240-505-4750
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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