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General NPI Number Information
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NPI Number | 1487273652
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Entity Type | Individual
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Provider Name | OBIANUJU MERCY ANELO
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Gender | Female
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 500 W 4TH ST
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City | ODESSA
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State | TX
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Zip | 79761-5001
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Country | US
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Telephone | 432-640-2834
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2129
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City | ODESSA
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State | TX
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Zip | 79760-2129
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Country | US
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Telephone | 432-640-2408
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | V8575
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License Number State | TX
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