1942179395 NPI number — EVIE DORCANCE TSAGUE EPSE DACHI

Table of content: EVIE DORCANCE TSAGUE EPSE DACHI (NPI 1942179395)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942179395 NPI number — EVIE DORCANCE TSAGUE EPSE DACHI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TSAGUE EPSE DACHI
Provider First Name:
EVIE DORCANCE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942179395
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11235 OAK LEAF DR APT 1620
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SILVER SPRING
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20901-1305
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-639-2342
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 N CHARLES ST STE 701
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21201-3731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-639-2342
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YS0200X , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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