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General NPI Number Information
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NPI Number | 1700114923
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Entity Type | Individual
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Provider Name | JANE OFOEGBU
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Gender | Female
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Dates
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Enumeration Date | 11/29/2009
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Last Update Date | 11/29/2009
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Provider Practice Location Address
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Address Line | 388 SANFORD AVE
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City | NEWARK
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State | NJ
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Zip | 07106-1183
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Country | US
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Telephone | 862-520-8864
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Fax |
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Provider Business Mailing Address
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Address Line | 388 SANFORD AVE
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City | NEWARK
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State | NJ
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Zip | 07106-1183
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Country | US
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Telephone | 862-520-8864
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NJ0608584709
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License Number State | NJ
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