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General NPI Number Information
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NPI Number | 1376742015
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Entity Type | Individual
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Provider Name | JUDE OGOCHUKWU OJIE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 01/22/2022
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Provider Practice Location Address
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Address Line | 3000 NEW BERN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-1231
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Country | US
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Telephone | 919-350-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 250 SMITH CHURCH RD
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City | ROANOKE RAPIDS
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State | NC
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Zip | 27870-4914
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Country | US
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Telephone | 252-535-8011
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2009-01258
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2009-01258
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License Number State | NC
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