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General NPI Number Information
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NPI Number | 1750649794
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Entity Type | Individual
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Provider Name | MOSES UKAOMA
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Gender | Male
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 955 LENFANT PLZ SW STE 985
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City | WASHINGTON
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State | DC
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Zip | 20024-6104
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Country | US
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Telephone | 202-282-3004
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 SIR MICHAEL PL
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City | GLENARDEN
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State | MD
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Zip | 20706-1685
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Country | US
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Telephone | 301-312-3344
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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 |
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License Number State |
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