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General NPI Number Information
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NPI Number | 1730443995
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Entity Type | Individual
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Provider Name | DR. GLWADYS MEJIEU LEKANE
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Gender | Female
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 6303 RICHMOND HWY
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City | ALEXANDRIA
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State | VA
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Zip | 22306-6410
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Country | US
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Telephone | 703-253-9908
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Fax | 703-253-9902
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Provider Business Mailing Address
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Address Line | 6303 RICHMOND HWY
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City | ALEXANDRIA
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State | VA
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Zip | 22306-6410
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Country | US
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Telephone | 703-253-9908
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Fax | 703-253-9902
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 23816
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 0202214442
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License Number State | VA
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