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General NPI Number Information
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NPI Number | 1750878229
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Entity Type | Individual
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Provider Name | FELICIA ONYENACHI DOCTOR OF SOCIAL WOR
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Gender | Female
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 2105 COLONEL WAY
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City | ODENTON
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State | MD
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Zip | 21113-1004
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Country | US
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Telephone | 301-247-7940
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Fax |
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Provider Business Mailing Address
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Address Line | 143 KENNEDY ST NW STE 16
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City | WASHINGTON
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State | DC
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Zip | 20011-5268
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Country | US
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Telephone | 202-899-8139
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG1000531
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License Number State | DC
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