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General NPI Number Information
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NPI Number | 1134743149
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Entity Type | Individual
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Provider Name | ORNOGEAH WURAH MD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 775 POPLAR RD STE 120
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City | NEWNAN
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State | GA
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Zip | 30265-8301
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Country | US
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Telephone | 770-400-4523
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Fax |
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Provider Business Mailing Address
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Address Line | 44405 WOODWARD AVE # H23
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City | PONTIAC
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State | MI
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Zip | 48341-5023
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4351047241
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 103404
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License Number State | GA
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