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General NPI Number Information
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NPI Number | 1548052517
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Entity Type | Organization
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Legal Business Name | ELLEORHIM MEDICAL GROUP LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 20348 NW 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33169-2503
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Country | US
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Telephone | 954-889-1181
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Fax | 786-930-4046
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Provider Business Mailing Address
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Address Line | 20523 NW 8TH AVE
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City | MIAMI
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State | FL
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Zip | 33169-2381
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Country | US
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Telephone | 954-889-1181
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. MARIE CARLINE OSEH
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Credential | DNP, APRN,
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Telephone | 954-889-1181
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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