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General NPI Number Information
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NPI Number | 1568969087
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Entity Type | Individual
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Provider Name | OGHENESUVWE EBOH MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 2100 STANTONSBURG RD
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City | GREENVILLE
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State | NC
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Zip | 27834-2818
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Country | US
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Telephone | 252-847-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 HEMPSTEAD TPKE
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City | EAST MEADOW
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State | NY
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Zip | 11554-1859
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Country | US
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Telephone |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35739
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 070104
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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