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General NPI Number Information
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NPI Number | 1740173368
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Entity Type | Individual
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Provider Name | MICHEL KOMLA GAKPARA
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Gender | Male
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 6514 GEORGIA AVE NW ADDRESS LINE 2
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City | WASHINGTON
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State | DC
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Zip | 20012
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Country | US
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Telephone | 202-829-5234
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Fax |
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Provider Business Mailing Address
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Address Line | 554 SHEPHERD ST NW # 2
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City | WASHINGTON
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State | DC
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Zip | 20011-5913
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Country | US
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Telephone | 202-763-2958
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH200004990
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License Number State | DC
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