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General NPI Number Information
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NPI Number | 1629720685
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Entity Type | Individual
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Provider Name | ABBI AJANAKU DNP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 1660 NORTHBOURNE RD
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City | BALTIMORE
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State | MD
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Zip | 21239-3623
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Country | US
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Telephone | 443-642-1211
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Fax |
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Provider Business Mailing Address
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Address Line | 1404 S MAIN CHAPEL WAY STE 104
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City | GAMBRILLS
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State | MD
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Zip | 21054-1860
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Country | US
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Telephone | 443-642-1211
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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 | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | R185040
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License Number State | MD
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