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General NPI Number Information
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NPI Number | 1215857826
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Entity Type | Organization
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Legal Business Name | NEWNAME HEALTHCARE CONSULTING LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 2720 SUNSET BLVD
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-4810
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Country | US
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Telephone | 803-791-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 589 PALISADE DR # 384
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City | BRUNSWICK
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State | GA
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Zip | 31523-8208
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Country | US
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Telephone | 864-684-6472
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN KALU ODEGHE
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Credential | MD
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Telephone | 864-684-6472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number |
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License Number State |
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