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General NPI Number Information
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NPI Number | 1548985740
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Entity Type | Organization
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Legal Business Name | JASMINE ONYEKA OBIOHA MD, INC.
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 8484 WILSHIRE BLVD STE 620
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3234
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Country | US
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Telephone | 424-428-0910
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Fax | 424-428-0911
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Provider Business Mailing Address
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Address Line | 8484 WILSHIRE BLVD STE 620
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3234
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Country | US
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Telephone | 323-955-0919
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Fax | 323-370-0422
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | JASMINE ONYEKA BOWERS OBIOHA
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Credential | MD
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Telephone | 323-217-4967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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