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General NPI Number Information
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NPI Number | 1649076092
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Entity Type | Individual
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Provider Name | FILMON YHISHO TEKA
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Gender | Male
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1445 HOWARD RD SE
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City | WASHINGTON
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State | DC
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Zip | 20020-4406
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Country | US
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Telephone | 240-636-7208
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Fax |
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Provider Business Mailing Address
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Address Line | 5017 13TH PL NE
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City | WASHINGTON
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State | DC
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Zip | 20017-2804
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Country | US
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Telephone | 202-684-1338
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP1047017
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License Number State | DC
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