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General NPI Number Information
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NPI Number | 1295102671
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Entity Type | Individual
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Provider Name | OGECHI NWAGWU PHARM D
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Gender | Male
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 410 CRESWELL LN
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City | OPELOUSAS
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State | LA
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Zip | 70570-5810
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Country | US
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Telephone | 379-424-2283
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Fax |
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Provider Business Mailing Address
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Address Line | 16539 LACEY LN
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City | MISSOURI CITY
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State | TX
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Zip | 77489-3956
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Country | US
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Telephone | 832-518-9501
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 54391
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 020957
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License Number State | LA
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