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General NPI Number Information
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NPI Number | 1669568796
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Entity Type | Individual
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Provider Name | ANGELA NDUAGUBA-EZUMBA D.O.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 10451 MILL RUN CIR STE 400
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5594
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Country | US
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Telephone | 443-883-0229
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Fax | 443-898-6813
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Provider Business Mailing Address
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Address Line | 9722 GROFFS MILL DR UNIT 627
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City | OWINGS MILLS
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State | MD
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Zip | 21117-6341
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Country | US
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Telephone | 443-883-0229
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Fax | 443-898-6813
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 80066255
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License Number State | MD
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