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NPI Code Detail

MEDICARE: EMILIE DEHA

MEDICARE: EMILIE DEHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseR265253MD

General Provider Information

NPI Number : 1063392199
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIE DEHA
Provider Business Mailing Address
First Line : 2706 BLADENSBURG RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-1425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2706 BLADENSBURG RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-1425
Country : US
Telephone Number : 202-540-3922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 03/05/2026

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Directions to “ EMILIE DEHA ” Practice Location

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