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General NPI Number Information
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NPI Number | 1184133605
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Entity Type | Organization
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Legal Business Name | STELLA C OHANENYE OD LLC
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 600 N BROAD ST STE 12
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1032
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Country | US
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Telephone | 302-563-8820
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Fax |
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Provider Business Mailing Address
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Address Line | 600 N BROAD ST STE 12
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1032
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Country | US
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Telephone | 302-563-8820
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Fax |
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Authorized Official
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Title or Position | CPA
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Name | UCHAY OHANENYE
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Credential |
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Telephone | 302-563-8820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | I3-0001360
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License Number State | DE
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