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General NPI Number Information
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NPI Number | 1013259720
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Entity Type | Individual
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Provider Name | NANCY N OMORODION MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 1530 LONE OAK RD
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City | PADUCAH
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State | KY
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Zip | 42003-7901
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Country | US
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Telephone | 270-444-2394
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Fax | 270-444-2972
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Provider Business Mailing Address
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Address Line | 2200 JEFFERSON AVE FL 5
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City | TOLEDO
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State | OH
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Zip | 43604-7102
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 52727
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301103054
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License Number State | MI
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