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General NPI Number Information
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NPI Number | 1619612710
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Entity Type | Individual
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Provider Name | VERA GHAIKA NDZEREM TANGIE
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Gender | Female
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 955 LENFANT PLZ SW
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City | WASHINGTON
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State | DC
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Zip | 20024-2119
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Country | US
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Telephone | 202-282-3004
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Fax |
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Provider Business Mailing Address
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Address Line | 15307 ECHOLS CT
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City | BOWIE
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State | MD
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Zip | 20716-1266
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Country | US
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Telephone | 240-444-9343
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN1059573
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License Number State | DC
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