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General NPI Number Information
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NPI Number | 1891315131
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Entity Type | Individual
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Provider Name | NDIDIAMAKA OKPALA CNA ,HHA,BHT
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Gender | Female
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 35 K ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4216
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Country | US
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Telephone | 202-371-9393
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Fax | 202-697-5069
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Provider Business Mailing Address
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Address Line | 3941 WARNER AVE APT A7
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City | HYATTSVILLE
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State | MD
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Zip | 20784-2088
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Country | US
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Telephone | 443-683-4372
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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 | HHA15351
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | A00173797
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | NA0000813914
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License Number State | DC
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