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General NPI Number Information
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NPI Number | 1114360567
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Entity Type | Individual
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Provider Name | SYLVIA IFEYINWA ONYENSOH MD, JD, MSPH
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Gender | Female
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 2372 CEDAR ST
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City | MC KENZIE
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State | TN
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Zip | 38201-2218
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Country | US
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Telephone | 731-388-8422
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Fax |
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Provider Business Mailing Address
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Address Line | 2325 DICKERSON PIKE UNIT 70165
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City | NASHVILLE
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State | TN
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Zip | 37207-4572
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Country | US
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Telephone | 703-962-0595
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101259915
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | MD0000056836
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License Number State | TN
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