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General NPI Number Information
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NPI Number | 1578360848
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Entity Type | Individual
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Provider Name | CHIOMA OZOR-ILO
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 601 SUTTON RD S
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City | FORT MILL
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State | SC
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Zip | 29715-8439
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Country | US
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Telephone | 803-328-6306
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Fax |
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Provider Business Mailing Address
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Address Line | 105 JASON DR
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City | OXFORD
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State | AL
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Zip | 36203-2521
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Country | US
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Telephone | 832-870-1092
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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