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General NPI Number Information
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NPI Number | 1639630585
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Entity Type | Individual
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Provider Name | AANUOLUWAPO VICTORIA AWOYINFA
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 6119 HIL MAR DR
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City | DISTRICT HEIGHTS
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State | MD
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Zip | 20747-2985
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Country | US
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Telephone | 202-304-4467
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Fax |
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Provider Business Mailing Address
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Address Line | 6119 HIL MAR DR
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City | DISTRICT HEIGHTS
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State | MD
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Zip | 20747-2985
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Country | US
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Telephone | 202-717-0599
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HHA13979
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License Number State | DC
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