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General NPI Number Information
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NPI Number | 1760876874
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Entity Type | Individual
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Provider Name | PHILIP ONTITA ANGWENYI M.D
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Gender | Male
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 5255 LOUGHBORO RD NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2633
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Country | US
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Telephone | 410-955-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE STE 203
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 443-849-3760
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101276805
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD2018-0117
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD500003172
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License Number State | DC
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