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General NPI Number Information
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NPI Number | 1578598454
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Entity Type | Individual
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Provider Name | EHIJELE OMOIKE MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 9441 HEALTH CENTER DR
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City | LAND O LAKES
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State | FL
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Zip | 34637-5837
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Country | US
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Telephone | 813-903-3700
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Fax | 813-615-8337
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Provider Business Mailing Address
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Address Line | PO BOX 550307
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City | TAMPA
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State | FL
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Zip | 33655-0307
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Country | US
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Telephone | 352-867-8898
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Fax | 352-732-6282
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME92950
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME92950
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License Number State | FL
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