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General NPI Number Information
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NPI Number | 1861757684
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Entity Type | Individual
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Provider Name | ERNESTINE NKWOEWA CHOFONG
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Gender | Female
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 223 7TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-7045
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Country | US
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Telephone | 202-546-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 15763 POINTER RIDGE DRIVE
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City | BOWIE
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State | MD
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Zip | 20716
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Country | US
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Telephone | 240-421-8032
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1032792
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License Number State | DC
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