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General NPI Number Information
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NPI Number | 1891679205
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Entity Type | Organization
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Legal Business Name | AWOUVIAPRN LLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 18310 MONTGOMERY VILLAGE AVE STE 300-G63
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3551
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Country | US
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Telephone | 402-209-3092
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Fax |
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Provider Business Mailing Address
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Address Line | 9636 KANFER CT
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City | GAITHERSBURG
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State | MD
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Zip | 20886-5065
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Country | US
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Telephone | 301-852-1662
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Fax | 240-262-5202
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Authorized Official
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Title or Position | OWNER
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Name | ADJOVI AWOUVI
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Credential | MSN, FNP-C
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Telephone | 240-220-9309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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