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General NPI Number Information
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NPI Number | 1447578802
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Entity Type | Individual
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Provider Name | IJEAMAKA KARYN OFODILE D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 700 2ND ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-8100
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Country | US
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Telephone | 202-346-3947
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Fax |
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Provider Business Mailing Address
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Address Line | 44 LONGFELLOW ST NE
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City | WASHINGTON
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State | DC
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Zip | 20011-2428
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Country | US
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Telephone | 610-310-5268
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0080430
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB09658500
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License Number State | NJ
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