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General NPI Number Information
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NPI Number | 1962394916
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Entity Type | Individual
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Provider Name | EJOBI TOKE
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Gender | Male
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 2918 MINNESOTA AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20019-1127
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Country | US
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Telephone | 641-680-4714
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Fax |
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Provider Business Mailing Address
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Address Line | 16615 TELESCOPE LN
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City | DUMFRIES
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State | VA
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Zip | 22026-2193
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Country | US
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Telephone | 641-680-4714
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Fax | 641-680-4714
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State | DC
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