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General NPI Number Information
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NPI Number | 1336745579
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Entity Type | Individual
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Provider Name | OBINNA OBI-EYISI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 661 PENNSYLVANIA AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20003-4303
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Country | US
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Telephone | 202-543-3305
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Fax | 202-548-3082
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Provider Business Mailing Address
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Address Line | 2333 LACONIA CT
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City | CROFTON
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State | MD
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Zip | 21114-3227
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Country | US
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Telephone | 917-279-9018
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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 | 20615
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License Number State | MD
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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 | PH100000995
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License Number State | DC
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