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General NPI Number Information
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NPI Number | 1023635877
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Entity Type | Individual
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Provider Name | EMU GODSPOWER OHWOBETE
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Gender | Male
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Dates
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Enumeration Date | 06/28/2020
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 1 CLEMENTINE CT APT 3B
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City | ROSEDALE
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State | MD
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Zip | 21237-6999
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Country | US
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Telephone | 443-500-2458
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Fax |
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Provider Business Mailing Address
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Address Line | 6 ASPINWOOD WAY APT E
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City | BALTIMORE
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State | MD
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Zip | 21237-4210
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Country | US
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Telephone | 443-500-2458
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R219657
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License Number State | MD
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