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General NPI Number Information
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NPI Number | 1912815366
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Entity Type | Individual
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Provider Name | IMMACULATE ESENEK ADENEI
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 1303 L' ENFANT SQUARE SE
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City | WASHINGTON, DC
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State | DC
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Zip | 20020
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Country | US
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Telephone | 202-269-2401
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Fax |
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Provider Business Mailing Address
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Address Line | 16320 EAGLE FLIGHT CIR
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City | WOODBRIDGE
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State | VA
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Zip | 22191-6080
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Country | US
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Telephone | 571-343-1788
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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