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General NPI Number Information
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NPI Number | 1932667326
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Entity Type | Organization
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Legal Business Name | ADOLICE MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 8120 FENTON ST STE 204
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City | SILVER SPRING
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State | MD
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Zip | 20910-4753
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Country | US
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Telephone | 202-531-2607
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Fax |
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Provider Business Mailing Address
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Address Line | 7514 EASTERN AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1822
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Country | US
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Telephone | 202-531-2607
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Fax |
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Authorized Official
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Title or Position | NURS PRACTITIONER
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Name | DR. ALICE CHINYERE UKAEGBU
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Credential | DNP, FNP-BC
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Telephone | 202-531-2607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 |
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License Number State |
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