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General NPI Number Information
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NPI Number | 1346863347
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Entity Type | Individual
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Provider Name | AMENZE EHANIKA DPM
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Gender | Female
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 8700 CENTRAL AVE STE 105
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City | LANDOVER
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State | MD
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Zip | 20785-4861
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Country | US
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Telephone | 301-499-3338
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Fax | 301-499-1266
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Provider Business Mailing Address
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Address Line | PO BOX 806
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City | DUNKIRK
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State | MD
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Zip | 20754-0806
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Country | US
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Telephone | 410-257-3558
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 01769
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License Number State | MD
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