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General NPI Number Information
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NPI Number | 1306572227
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Entity Type | Individual
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Provider Name | ADZOWO AKPEDZE FAFA SAM GONE
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Gender | Female
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 900 W MAIN ST STE 3
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City | FREEHOLD
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State | NJ
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Zip | 07728-2523
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Country | US
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Telephone | 732-308-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 70 E 108TH ST APT 10C
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City | NEW YORK
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State | NY
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Zip | 10029-3828
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Country | US
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Telephone | 646-525-9414
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 001958
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License Number State | NY
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