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General NPI Number Information
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NPI Number | 1629893672
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Entity Type | Individual
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Provider Name | LIVITA NJEUMA
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Gender | Male
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1375 E ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-5429
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Country | US
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Telephone | 202-830-1381
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Fax |
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Provider Business Mailing Address
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Address Line | 2303 MANOR GATE TER
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-8516
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Country | US
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Telephone | 301-532-6614
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LA60077950
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License Number State | DC
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