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General NPI Number Information
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NPI Number | 1194642348
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Entity Type | Individual
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Provider Name | ENOCH ODURO
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Gender | Male
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 2021 K ST NW STE 210
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City | WASHINGTON
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State | DC
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Zip | 20006-1003
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Country | US
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Telephone | 301-562-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 853 NE 81ST ST
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City | MIAMI
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State | FL
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Zip | 33138-4631
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Country | US
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Telephone | 269-830-6081
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State | DC
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