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General NPI Number Information
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NPI Number | 1033370986
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Entity Type | Individual
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Provider Name | NNAMDI IFEANYI EZE MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 120 FRANK MARTIN RD STE 102
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City | SHELBYVILLE
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State | TN
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Zip | 37160-7195
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Country | US
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Telephone | 931-680-0602
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Fax | 931-680-0654
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Provider Business Mailing Address
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Address Line | 2004 HAYES ST STE 800
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City | NASHVILLE
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State | TN
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Zip | 37203-2659
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Country | US
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Telephone | 615-514-6963
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD56260
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License Number State | TN
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