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General NPI Number Information
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NPI Number | 1750010872
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Entity Type | Individual
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Provider Name | WINIFRED ADE
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Gender | Female
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 1615 KENILWORTH AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20019-2010
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Country | US
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Telephone | 202-588-8036
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Fax |
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Provider Business Mailing Address
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Address Line | 3558 CLINTON ROSS CT
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City | TRIANGLE
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State | VA
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Zip | 22172-2220
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Country | US
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Telephone | 434-851-2925
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN200006423
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License Number State | DC
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