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General NPI Number Information
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NPI Number | 1639437403
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Entity Type | Individual
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Provider Name | EUNICE OBAMIRO MD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1317 S MAIN RD STE 2A
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City | VINELAND
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State | NJ
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Zip | 08360-6511
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Country | US
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Telephone | 856-553-8724
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Fax | 856-348-5110
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Provider Business Mailing Address
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Address Line | 1038 E CHESTNUT AVE
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City | VINELAND
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State | NJ
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Zip | 08360-5800
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Country | US
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Telephone | 856-691-3300
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA12627400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00373000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301512520
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License Number State | MI
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Taxonomy #4
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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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