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General NPI Number Information
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NPI Number | 1275459216
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Entity Type | Individual
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Provider Name | JANE NKECHI NWAFOR
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Gender | Female
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 799 E GUN HILL RD
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City | BRONX
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State | NY
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Zip | 10467-6107
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Country | US
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Telephone | 201-874-9084
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Fax |
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Provider Business Mailing Address
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Address Line | 147 GREENLAND DR
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City | LANCASTER
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State | PA
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Zip | 17602-3385
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Country | US
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Telephone | 610-620-5381
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | P137749
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License Number State | NY
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