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General NPI Number Information
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NPI Number | 1629285002
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Entity Type | Individual
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Provider Name | OGONNA OGE ORJIEKWE D.M.D
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 37 HIGHWAY 35
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City | EATONTOWN
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State | NJ
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Zip | 07724
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Country | US
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Telephone | 732-544-9101
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Fax | 732-544-0929
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Provider Business Mailing Address
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Address Line | 1091 ROSEBERRY CT
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1783
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Country | US
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Telephone | 732-970-3924
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02246600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 051597-1
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License Number State | NY
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