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General NPI Number Information
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NPI Number | 1891051025
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Entity Type | Individual
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Provider Name | SOLANGE FECHWI NJOKIKANG NP
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Gender | Female
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 03/30/2025
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Provider Practice Location Address
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Address Line | 400 FOXCROFT AVE STE 104
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City | MARTINSBURG
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State | WV
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Zip | 25401-5302
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Country | US
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Telephone | 304-513-3495
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Fax |
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Provider Business Mailing Address
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Address Line | 12714 NELSON DR
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City | HAGERSTOWN
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State | MD
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Zip | 21740-2288
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Country | US
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Telephone | 240-702-7936
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R226318
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 118856
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License Number State | WV
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