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General NPI Number Information
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NPI Number | 1548713456
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Entity Type | Individual
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Provider Name | CLEMENT ISIOMA NWADOZI O.D
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Gender | Male
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 5020 W SAGINAW HWY
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City | LANSING
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State | MI
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Zip | 48917-2625
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Country | US
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Telephone | 989-627-4439
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Fax | 517-703-9066
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Provider Business Mailing Address
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Address Line | 5020 W SAGINAW HWY
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City | LANSING
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State | MI
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Zip | 48917-2625
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Country | US
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Telephone | 989-627-4439
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Fax | 517-703-9066
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2901
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License Number State | OK
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