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1235815937 NPI number — UKPE THEODORA OSAGHAE

NPI Number: 1235815937
Health Care Provider/Practitioner: UKPE THEODORA OSAGHAE

Information about “1235815937” NPI (UKPE THEODORA OSAGHAE) exists in 1235815937 in HTML format HTML  |  1235815937 in plain Text format TXT  |  1235815937 in PDF (Portable Document Format) PDF  |  1235815937 in an XML format XML  formats.

NPI Number : 1235815937 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235815937",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSAGHAE",
    "FirstName": "UKPE",
    "MiddleName": "THEODORA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OSAGHAE",
    "OtherFirstName": "UKPE",
    "OtherMiddleName": "T",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "6666 SECURITY BLVD STE 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODLAWN",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21207-4025",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6666 SECURITY BLVD STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODLAWN",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21207-4025",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-273-6878",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/26/2023",
    "LastUpdateDate": "06/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "18833",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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