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General NPI Number Information
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NPI Number | 1174919203
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Entity Type | Individual
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Provider Name | NGOZI ORABUEZE APRN-FNP
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Gender | Female
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10 PARK PLACE NE
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City | ATLANTA
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State | GA
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Zip | 30303
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Country | US
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Telephone | 770-329-7339
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Fax |
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Provider Business Mailing Address
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Address Line | 2449 TOLLIVER DR
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City | ELLENWOOD
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State | GA
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Zip | 30294-1235
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Country | US
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Telephone | 770-329-7339
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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 | RN204864
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License Number State | GA
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