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General NPI Number Information
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NPI Number | 1760137541
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Entity Type | Individual
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Provider Name | JOSEPH TEKE TENGEN
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Gender | Male
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Dates
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Enumeration Date | 02/19/2022
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 9010 BRAE BROOKE DR
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City | LANHAM
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State | MD
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Zip | 20706-3387
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Country | US
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Telephone | 240-825-8492
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Fax |
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Provider Business Mailing Address
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Address Line | 9010 BRAE BROOKE DR
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City | LANHAM
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State | MD
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Zip | 20706-3387
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Country | US
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Telephone | 240-825-8492
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | CNA20220033
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CNA20220033
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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