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General NPI Number Information
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NPI Number | 1255646220
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Entity Type | Individual
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Provider Name | NOAH OJONUGWA AGADA MD., MPH, FAAAI
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Gender | Male
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 12750 HORSEFERRY RD STE 100
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City | CARMEL
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State | IN
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Zip | 46032-7265
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Country | US
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Telephone | 317-795-0707
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Fax | 317-795-0706
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Provider Business Mailing Address
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Address Line | 12750 HORSEFERRY RD STE 100
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City | CARMEL
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State | IN
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Zip | 46032-7265
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Country | US
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Telephone | 317-795-0707
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Fax | 317-795-0706
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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 | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 01075780
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 01075780A
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License Number State | IN
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