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General NPI Number Information
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NPI Number | 1962832956
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Entity Type | Individual
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Provider Name | MANUELLA CLAUDE NGUEMBU
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Gender | Female
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 2708 KIRKWOOD PL APT 103
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City | HYATTSVILLE
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State | MD
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Zip | 20782-2637
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Country | US
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Telephone | 202-412-2384
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Fax |
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Provider Business Mailing Address
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Address Line | 10745 CASTLETON TURN
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-1449
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Country | US
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Telephone | 202-779-4726
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | DC
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