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General NPI Number Information
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NPI Number | 1053726349
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Entity Type | Organization
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Legal Business Name | DR MARIAM ORJI, MD
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 1151 N BUCKNER BLVD SUITE 105
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City | DALLAS
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State | TX
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Zip | 75218-3426
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Country | US
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Telephone | 214-321-3536
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Fax | 214-321-3520
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Provider Business Mailing Address
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Address Line | 2850 SHORELINE TRL PMB 250
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City | ROCKWALL
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State | TX
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Zip | 75032-5508
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Country | US
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Telephone | 214-321-3536
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Fax | 214-321-3520
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MARIAM UJU ORJI
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Credential | M.D
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Telephone | 214-321-3536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | N9105
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License Number State | TX
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