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General NPI Number Information
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NPI Number | 1952056715
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Entity Type | Individual
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Provider Name | NGOZI M ONWUMELU CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/19/2022
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE BLDG 193
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City | BETHESDA
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State | MD
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Zip | 20889-5477
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Country | US
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Telephone | 301-319-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 3806 ANGELTON CT
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City | BURTONSVILLE
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State | MD
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Zip | 20866-2060
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Country | US
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Telephone | 301-338-1032
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | R211356
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | R211356
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | R211356
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License Number State | MD
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