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General NPI Number Information
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NPI Number | 1003986761
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Entity Type | Individual
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Provider Name | ANAYO UMERAH M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 1719 RUSSELL PKWY STE 700
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City | WARNER ROBINS
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State | GA
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Zip | 31088-5765
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Country | US
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Telephone | 478-328-7674
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 N POINT PKWY STE 300
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City | ALPHARETTA
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State | GA
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Zip | 30022-4102
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Country | US
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Telephone | 770-442-1911
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 63745
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License Number State | GA
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