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General NPI Number Information
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NPI Number | 1114648151
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Entity Type | Individual
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Provider Name | JOAN UKAMAKA EJIOFOR-OKOLI DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 826 WASHINGTON RD STE 110A
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City | WESTMINSTER
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State | MD
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Zip | 21157-5779
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Country | US
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Telephone | 410-751-7480
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Fax |
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Provider Business Mailing Address
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Address Line | 826 WASHINGTON RD STE 110A
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City | WESTMINSTER
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State | MD
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Zip | 21157-5779
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Country | US
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Telephone | 410-751-7480
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R191164
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License Number State | MD
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