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General NPI Number Information
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NPI Number | 1073338927
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Entity Type | Individual
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Provider Name | EZINNE OCHUBA
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Gender | Female
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Dates
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Enumeration Date | 11/16/2024
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 35 VERNON TER
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City | EAST ORANGE
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State | NJ
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Zip | 07017-5285
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Country | US
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Telephone | 862-290-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 CHARLOTTE AVE APT 2507
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City | NASHVILLE
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State | TN
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Zip | 37209-3849
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 831690
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 26NR21445200
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License Number State | NJ
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