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General NPI Number Information
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NPI Number | 1649532219
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Entity Type | Individual
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Provider Name | VICTORINE NDONGO
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Gender | Female
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 1416 9TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-3344
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Country | US
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Telephone | 202-483-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 11700 OLD COLUMBIA PIKE
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City | SILVER SPRING
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State | MD
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Zip | 20904-2579
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Country | US
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Telephone | 301-784-9621
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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 | HHA0151
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License Number State | DC
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