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General NPI Number Information
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NPI Number | 1053267419
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Entity Type | Organization
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Legal Business Name | EZIDOZI GROUP
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 3333 OLNEY SANDY SPRING RD STE 201
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City | OLNEY
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State | MD
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Zip | 20832-1606
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Country | US
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Telephone | 240-389-2433
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Fax |
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Provider Business Mailing Address
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Address Line | 7820 SENECA RIDGE LN S
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City | HANOVER
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State | MD
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Zip | 21076-2424
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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 | MEMBER
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Name | DR. INNOCENT CHIDOZIE NWANYA
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Credential | DDS
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Telephone | 240-389-2433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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