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General NPI Number Information
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NPI Number | 1528547767
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Entity Type | Individual
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Provider Name | OBINNEAMAKA LESLEY IWEH POPOKO FNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 40 S DUNDALK AVE
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City | BALTIMORE
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State | MD
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Zip | 21222-4267
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Country | US
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Telephone | 410-220-0720
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Fax | 410-862-0150
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Provider Business Mailing Address
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Address Line | 40 S DUNDALK AVE
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City | BALTIMORE
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State | MD
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Zip | 21222-4267
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Country | US
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Telephone | 410-220-0720
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Fax | 410-862-0150
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R208683
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License Number State | MD
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