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General NPI Number Information
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NPI Number | 1093272544
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Entity Type | Individual
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Provider Name | OGOCHUKWU OBIEKWE NP
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Gender | Female
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 9351 ATLEE RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-2540
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Country | US
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Telephone | 615-425-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 ELM HILL PIKE
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City | NASHVILLE
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State | TN
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Zip | 37214-3108
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Country | US
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Telephone | 615-425-4200
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 207QA0505X
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 207R00000X
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024177173
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License Number State | VA
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