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General NPI Number Information
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NPI Number | 1194041830
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Entity Type | Individual
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Provider Name | EBERECHUKWU JILL AZUMAH M.D, MPH
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Gender | Female
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 80 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3031
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Country | US
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Telephone | 734-730-0329
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Fax |
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Provider Business Mailing Address
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Address Line | 4221 30TH ST
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City | MOUNT RAINIER
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State | MD
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Zip | 20712-1751
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Country | US
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Telephone | 734-730-0329
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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 | 266385
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License Number State | NY
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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 | 0101264825
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0088438
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 89418
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License Number State | GA
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